Revision- Aetna Did Not Pay For Lapband

[thinnerbeginnings81 0]

Ok, so I received the Lapband 12/31/2009 paid by BCBS. Now that I am with a different company and have AETNA POS II- will I have a chance of getting them to pay for the revision to the sleeve?

I had my consultation and the insurance coordinator advised me that she will need me to have a sleep study (which I did last night) and the next 3 months to meet with a nutritionist. She also advised me that she is requesting my weight history from my last surgeon. Do I have a good chance of getting an approval?

Has anyone else experienced this? Thanks in advance for any comments or feedback.

[ebonisekim 1,713]

Are u having any problems with your Lapband ? I read some where in Aetna policy about revising to the sleeve and if I'm not mistaking it said if it was medically necessary ... You should read aetna policy it online but u no our employer pick there on stuff that they want us to be covered for

[MeMeMEEE 206]

I don't know about with Aetna but I know with my BCBSIL it says you have to have been compliant with your previous surgery - so you records from you previous Dr are very important.

[thinnerbeginnings81 0]

Thanks for the feedback. It now makes since now why the insurance coordinator wants to gather as much detail aout my weight history and a possible EGD after she receives the results from my sleep study. I hope everything works out. I am not losing any weight since ater having my daughter.

I was 235 when I had my lapband surgery and got down to 209 after surgery Then I got pregnant, had my band unfilled and now it's like the band is just there. It's been too tight.. not tight enough...only to result in weight gain. I hope I can get this revision!