Aetna Insurance Cover Bariatric Surgery

One for 6 months and one for 3 months. Ad Compare Top 50 Expat Health Insurance In Laos.

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Aetna considers repeat bariatric surgery medically necessary for members whose initial bariatric surgery was medically necessary ie who met medical necessity criteria for their initial bariatric surgery and who meet either of the following medical necessity criteria.

Aetna insurance cover bariatric surgery. Insurance coverage varies depending on your policy. The average bariatric surgery costs 17000 to 26000 according to the ASMBS. This page explains the coverage requirements plan types and covered procedures as well as how to appeal a denial.

Ad Compare Top 50 Expat Health Insurance In Laos. It does not pay for the cost of the pre-surgical nutrition therapy. They will ask you to diet for 3-6 months before considering you a candidate for bariatric surgery coverage.

Aetna considers surgery to correct complications from bariatric surgery medically necessary such as obstruction stricture erosion or band slippage. The following page is a general guideline for insurance requirements for weight loss surgery. Our office has bariatric coordinators who will assist you in all steps of getting through the weight lossSome other insurance companies that pay for bariatric surgery include aetna cigna kaiser permanente presbyterian healthcare services priority health etcStates selected among health plan coverage packages that existed prior to the affordable care act to serve as benchmark plans for their.

Enjoy Our Excellent Customer Service Now. I picked the 3 months with my primary doctor. Each Aetna California insurance policy can vary on what weight management or bariatric and gastric surgery expenses are covered or excluded so it may be easier to have our Gastric Sleeve Insurance Coordinators verify your Aetna Gastric Sleeve Surgery coverage for you.

There you will probably see two options. Get the Best Quote and Save 30 Today. Get the Best Quote and Save 30 Today.

Call Aetna and have them direct you to the web page Bulletin that states the requirements versus them dictating them to you. - Free Quote - Fast Secure - 5 Star Service - Top Providers. 214 324-6127 214 324-6127.

Bariatric surgery so long as its an idiopathic intracranial hypertension treatment Mini gastric bypass. Health insurance or health benefits plan covers bariatric surgery. However even with your doctors recommendation your health insurance might not pay for the surgery.

My spouse our family is insured through his company with Aetna. Or to help you adjust your diet to lose weight. Whether you have insurance that covers bariatric surgery depends on what type of policy you have.

Bariatric surgery as a treatment for idiopathic intracranial hypertension Gastroplasty more commonly known as stomach stapling see below for clarification from vertical band gastroplasty Intragastric balloon Laparoscopic gastric plication. Other bariatric procedures covered by these and other insurers include Roux-en-Y gastric bypass laparoscopic adjustable gastric banding and biliopancreatic diversion with duodenal switch. It is best to check with your insurance carrier directly to get detailed information as to what is required to qualify for bariatric surgery.

There are different Aetna insurance plans QPOS is one of them. Mounting evidence shows that surgery for morbid obesity can be more cost-effective than treating the conditions resulting from obesity. Aetnas answer is No Their primary form of affordable health care coverage is their Essure Bariatric policy which pays for the cost of the surgical tretment only.

Aetna began covering the procedure in April 2010 and United Healthcare began in October 2009. Aetna may cover bariatric surgery as it is sometimes considered to be medically necessary. Medicare covers weight loss surgery.

Aetna Covers Four Kinds Of Weight Loss Surgeries. I also found a forum with others interested in aetnas approach to surgery coverage and many say that with aetna pos they will cover 90 of surgery only after a 3-6 month disciplinary approach has been completed-- meaning. - Free Quote - Fast Secure - 5 Star Service - Top Providers.

RYGB sleeve gastrectomy or laparoscopic adjustable silicone gastric banding LASGB are all considered medically necessary by Aetna when the listed selection criteria is met. I called the Aetna number on my insurance card on 82010 to ask if I was covered for RNY. Most of the Aetna groups HMO and POS exclude coverage for the surgery until approved by Aetna.

Complete our free insurance verification check to find out what kind of coverage Aetna offers. A Large Group Policy through an employer with 50 employees covers bariatric surgery if your employer has chosen to include it in your plan. Insurance is different for different people it also depends on the company youre insured through.

If you have coverage check if you meet Aetnas clinical criteria for bariatric surgery by reviewing the clinical policy bulletin for Obesity Surgery CPB 157. An IndividualFamily or Small Group Policy through an employer with under 50 employees covers weight loss surgery if you live in one of the 23 states that mandate it. Aetna When it comes to Health Insurance Bariatric Surgery Cover USA 2021 individual health insurance Aetna doesnt offer a sole health plan covering bariatric surgery.

Aetna considers repeat bariatric surgery medically necessary for members whose initial bariatric surgery was medically necessary ie who met medical necessity criteria for their initial bariatric surgery and who meet any of the following medical. Also understand the costs you are responsible for paying based on your benefit and learn if your benefit coverage is. Most Aetna HMO and QPOS healthcare plans do not cover surgery procedures or bariatric surgery unless approved by Aetna.

The following procedures are not covered by Aetna. Enjoy Our Excellent Customer Service Now. The following surgeries are not covered by Aetna.

In some Aetna policies surgical treatment of obesity is not covered at all. Obesity-causing depression is not a reason for denial for obesity surgery. Aetna covers 5 weight loss procedures including the Gastric Sleeve Gastric Bypass Lap-Band and Duodenal Switch assuming your policy includes bariatric surgery.

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