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kashara2010,

Thanks for your question.

Unfortunately, some insurance companies will not cover a surgical procedure such as Lap Band (or Bariatric surgery) and there is nothing we as patients can do about it. I did find this site that will help you figure out if and how much your insurance will cover if you choose to have bariatric surgery performed. http://www.lapband.obeseinfo.com/lap-band-insurance.htm

It does list insurance companies that will cover partial or complete surgery costs but Aetna is not listed as one.

I also found a forum with others interested in Aetna's 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: They will ask you to diet for 3-6 months before considering you a candidate for bariatric surgery coverage. http://www.lapbandtalk.com/f8/aetna-insurance-questions-help-please-64509/

I hope this helps a bit. I know Insurance Companies can certainly give you the runaround when it comes to coverage, especially when it is a surgical procedure.
Good Luck!

March 23, 2010 - 1:07pm

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