kim_aba

If your insurance says it's not in the covered benefits has anyone had any luck with fighting and getting approved for medical reasons? I finally felt like I was at the point to be "ready" to go through and do this and then found out it isn't covered by Aetna. I don't have $15K lying around either :smile2: Any help is appreciated :tongue:

Thank you for the encouragement and information. I am doing my research...trying to figure out what to do now. I just got my date for knee surgery whichi s Nov 5th. Right now because of my knee problems I cannot exercise at all. I have been overweight basically all my life. I am currently 339 lbs I know so many things would be different in my life if I was a "normal" size. I would do more things and not be hindered like I am now. I know I have to do something... If my insurance says they do not cover it, don't some eventually get it covered by appeals? I have not had the courage to call or make an appt with a surgeon or my PCP yet. Kimberly :thumbup:

I have just started looking into the lap band procedure. I attended a seminar about a year ago but have not been sure about if I wanted to go this route. I have always felt like I was giving up on myself if I had the surgery. I have had some problems with my knees and am facing another arthoscopic surgery int he next month probably and my doctor has of course looked at the "weight" factor. I am considering the Lap Band now ....but worry about if my insurance (Aetna POS) will cover it and if this is the right decision. I hope this site will be helpful in making this decision and going through the process. Kimberly