Aetna Insurance Coverage For Bariatric Surgery

Aetna considers surgery to correct complications from bariatric surgery medically necessary such as obstruction stricture erosion or band slippage. The average bariatric surgery costs 17000 to 26000 according to the ASMBS.

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Check if your insurance covers bariatric surgery.

Aetna insurance coverage for bariatric surgery. Simply give us a call at 1-855-690-0559 or fill out our FREE Gastric Sleeve. The good news is Aetna my insurance company and probably many of yours has revised their obesity surgery guidelines effective May 1 2020. When bariatric weight loss surgery revision is covered.

This page explains the coverage requirements plan types and covered procedures as well as how to appeal a denial. 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. Most of the time Aetna will indeed cover your gastric band surgery should you meet your plans requirements such as.

Although not a requirement for coverage ideally the bariatric surgeon should be board certified by the American Board of Surgery or in the process of certification within 5 years after completion of an accredited residency program in general or gastrointestinal surgery and recertification has been obtained by the American Board of Surgery on an every 10-year basis if applicable. Therefore Aetna may cover the procedure based on your medical records at least in part. - Free Quote - Fast Secure - 5 Star Service - Top Providers.

Does Aetna Better Health Cover Bariatric Surgery Experienced in addressing a wide range of health care requirements for more than 30 years. Aetna considers medically necessary surgery to correct complications from bariatric surgery such as obstruction or stricture. Get the Best Quote and Save 30 Today.

Also understand the costs you are responsible for paying based on your benefit and learn if your benefit coverage is affected by the hospital and surgeon you. Risks Associated with Bariatric Surgery. Complete our Free Insurance Verification Check to see what kind of coverage Aetna offers.

Get the Best Quote and Save 30 Today. Ad Compare Top 50 Expat Health Insurance In Laos. GEHA considers revision bariatric surgery eligible for coverage when one of the following medical necessity criteria have been demonstrated.

Aetna covers most weight loss surgeries. Enjoy Our Excellent Customer Service Now. Whether you have insurance that covers bariatric surgery depends on what type of policy you have.

99 for entire year supply of 1 per Day Bariatric Multivitamins. - Free Quote - Fast Secure - 5 Star Service - Top Providers. Aetna covers 5 weight loss procedures including the Gastric Sleeve Gastric Bypass Lap-Band and Duodenal Switch assuming your policy includes bariatric surgery.

Ad Compare Top 50 Expat Health Insurance In Laos. List of Co-morbidities for Bariatric Surgery. However you should note that most Aetna HMO and QPOS plans exclude coverage of surgical operations for the treatment of obesity unless approved by Aetna.

As such you will want to make sure that you consult your insurance provider for a full understanding of what this requirement entails. Bariatric surgery is necessary for obesity surgery. Aetnas coverage depends on the insurance plan of each individual as well as each patients ability to meet the criteria for bariatric coverage.

Make sure you contact Aetna directly to find out if you policy includes weight loss surgery coverage. Almost all insurance companies in the United States have policies that cover bariatric surgery. Revision surgery to address perioperative or late complications of the original bariatric procedure.

Enjoy Our Excellent Customer Service Now. However even with your doctors recommendation your health insurance might not pay for the surgery. The cost of weight-loss surgery depends on a number of factors including your location the hospital the surgeons fees and the type of procedure.

They have removed the need for weight loss or maintenance of 3 months or 6 months and now only require 12 intensive appointments in a multi-component program that you are most likely already in the middle of So great news. Weight Loss Surgery Forums. Mounting evidence shows that surgery for morbid obesity can be more cost-effective than treating the conditions resulting from obesity.

List of Insurance companies that cover 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 6 of 114. Because Aetna has unique and specific prerequisites we are happy to discuss with you and help you determine whether you meet these qualifications before to meet.

If you have insurance our insurance coordinator can verify your insurance for bariatric surgery coverage. When it comes to health Medicaid plans have shown that providing the appropriate support at the right time is crucial In order to help its members find the proper coverage services and care Aetna Medicaid plans provide information and assistance. Aetna has some very specific requirements for how this is done and you need to document things exactly how Aetna wants them done in order to qualify for coverage of your weight loss surgery.

How much does bariatric surgery cost out of pocket. Aetna Insurance Requirements for Bariatric Surgery Gastric Bypass Gastric Sleeve Gastric Banding Lap Band What Does Aetna Require Before Insurance Pays For Weight Loss Surgery When youre in need of a weight loss surgery and have Aetna as your health coverage youll be glad to know that it covers the majority of the weight loss surgeries. This page explains exactly how to find out if you have coverage.

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. 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. According to Obesity Coverage a bariatric surgery information site the average cost of lap-band surgery is 14500 while gastric bypass.

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