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Old 12-08-2007, 08:31 AM   #4
SpecialK
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Join Date: Nov 2007
Posts: 1,184
City: Columbus
State: Ohio
I'm Aetna too

Quote:
Originally Posted by swstacey1977 View Post
Okay. i thought i would start this thread for all of us to vent about our pre- experience or existing experience with getting approved for the LAP-BAND®. for example. i will tell you of my journey. went to a surgeon who was covered through Aetna, my insurance carrier. paid 400.00 , plus 25 gas in my car and 25 for his nut. found out after my paperwork was submitted that he did accept Aetna but was not in his contract to do weight loss surgery with Aetna. had to find another surgeon. found one.
paid 200.00 for his consult, another 25 for his nut, 25 gas in my car. (both surgeons were 100 miles from where i live). they submitted my paperwork, i was approved. set up a pre-op appt then the surgery coordinator calls me and says , the surgeon may not do your surgery cause Aetna does not pay enough. had to wait 2 days for an answer from him. she calls me and says, oh, i am sorry. it was a mistake. i got the wrong quote. he will do your surgery after all.
that was the frustration i went through before i had my surgery.
anyone have some nightmare stories.....can't wait to hear them.
finally banded and loving IT!:clap2:
Thanks for letting me know your experience. I was wondering if Aetna made you do the 6 months of nutrition counseling even if your BMI was over 40, and if you had the 5 years of documented medical visits showing you'd been overweight. Thanks. :)
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