condanchri

Hi there - I'm worrying if anyone has had success in attaining WLS, when your insurance policy has a WLS exclusion put in place by the employer. My husband (and I) have excellent insurance through Aetna, but his employer has placed a bariatric surgery exclusion on the policy. I have spoken with Aetna, and they say no way, unless it's a'life or death' situation. Any information would be very helpful. Thanks

Thanks for the support Magnolia. I'm thinking Mexico at this point. I have an appointment with my PCP tomorrow - she's agreed to see me for follow up care, unless there are complications. I had a lap band put in in Mexico in 2004 (and removed in 2008), and besides the fact that the band was ultimately not a good solution for me, I felt comfortable in Mexico. I'm sorry you're in the"insurance exclusion boat," too.

YRaj, that's what I was thinking, too. My husband's a cop, and any WLS would probably only benefit such a few spouses, they wouldn't want to increase rates. Thanks!

Thanks shoe lover, that's what I thought, but wanted to make sure. Mexico is looking more and more like my reality.

Just wondering if anyone has been successful in getting Aetna to pay for WLS when there is a bariatric surgery exclusion in the insurance policy, put on there by the employer. I am under my hubby's insurance (Aetna PPO), which is completely awesome ($5 copay!), with the very big exception that his employer has excluded WLS from their insurance. My PCP wants to try and submit a letter to see what Aetna does (I've spoken with Aetna, they have said they will deny it, based on our insurance policy). I'm not sure I'm up for a humongous fight, only to have it denied. Does anyone have experience with this?