Does Aetna Cover Weight Loss Surgery?

Scales, dumbbell and measuring tape on color background. Weight loss concept

No, Aetna does not cover weight loss surgery. If you are morbidly obese, you can ask for a case review after one year to see if the weight has been kept off. However, you will automatically be denied. You can appeal this decision. If your condition is deemed to be so severe that you meet the criteria of bariatric surgery, you should look for another insurance provider..

Does Aetna Cover Weight Loss Surgery? – Related Questions

Does Aetna cover liposuction?

Aetna US health insurance company does cover liposuction, but some of its plans may not. It basically depends on the benefits of your plan. However, it depends on your coverage of Aetna plan. You can check the plan details of Aetna to know if it has benefits for liposuction..

What does your BMI have to be for insurance to cover weight loss surgery?

If you are overweight or morbidly obese, then insurance companies are likely to cover weight loss surgery depending on your BMI. If you are morbidly obese, the insurance company may cover all weight loss surgery costs. If you are considered overweight, then there are limits to how much weight loss surgery costs are covered. If you are considered obese, then the weight loss surgery costs are not likely to be covered at all. There are several weight loss surgeries which are covered if your BMI is over 40. These include the gastric bypass, gastric banding, adjustable gastric band, and duodenal switch. These are all considered “bariatric” surgeries. The limit for bariatric weight loss surgery is usually around $25,000. Each case is different, so always check with your insurance company before scheduling your surgery..

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Does Aetna cover hysterectomy?

Aetna covers hysterectomy if the patient’s uterus is causing medical problems for her. There are many disorders of the uterus, so these include its removal. The procedure is also covered if the patient is suffering from uterine cancer. Hysterectomy is not covered by Aetna if the patient is suffering from uterine prolapse where the uterus is not functioning properly. Due to the fact that this is a surgical procedure, Aetna coverage will depend on the patient’s coverage..

Does Aetna cover skin removal after weight loss surgery?

Yes, Aetna covers skin removal after weight loss surgery. Aetna considers skin removal after weight loss surgery as reconstructive surgery. Following is a sample claim for skin removal after weight loss surgery:.

How long does it take for insurance to approve weight loss surgery?

You should know that getting a weightloss surgery is a long process and not a mere submission of a form. Although there are no hard and fast rules, but there are a number of guidelines which have been laid down by insurance companies. Here are the steps you need to follow: 1. Know your policy- Visit your insurance website and read all about your weight loss surgery policies. You should know that not all insurers cover the surgery. 2. Get a consultation- You have to see a surgeon of your choice, have a physical examination and have a detailed discussion about the surgery. 3. Authorize the surgery- The surgeon will send a form to the health insurer, authorising the surgery after he receives a full payment from you. 4. Approval of insurance- The insurance company has to approve your surgery. 5. Pay the remaining amount- Once you receive a claim number from the insurer, pay the remaining amount. 6. Schedule your surgery- If you have gone through all the above steps then it’s time for you to schedule an appointment for your surgery..

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How can I get my doctor to approve weight loss surgery?

Doctors are often skeptical when it comes to recommending weight loss surgery to their patients who are obese. They are aware of the benefits of weight loss surgery, but they are also aware of the risks involved in any surgery. As obesity is considered one of the leading causes of Type II Diabetes, heart disease, stroke, cancer, and other deadly conditions, it is important to strike a balance between the risks and benefits of weight loss surgery. You can help your doctor understand your case better by presenting the following points to him: 1. Make sure that your doctor knows that you don’t have any other option left. Explain to him that you are willing to do anything necessary to lose weight. 2. Discuss the benefits of weight loss surgery. 3. Discuss the risks. 4. Explain to your doctor that you are aware of the risks involved with weight loss surgery, but you are willing to take that risk. 5. It is important to explain to your doctor that you are keen to follow all instructions that will be given to you after surgery. 6. If your doctor is still unsure about recommending weight loss surgery to you, he may ask for a second opinion..

How do I qualify for weight loss surgery?

Weight loss surgery is an option for those who have a body mass index of 40 or greater and have a co-morbid condition such as diabetes or high blood pressure that can be controlled by diet and exercise. The surgeon can also evaluate your general health status and make recommendations based on your overall risk. However, many insurance providers do not provide coverage for weight loss surgery. This is why it is important to do research and find out whether your insurance covers the cost..

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