The doctor I was planning to use and saw for consult and who just filed for surgery approval isn't on my preferred provider Aetna PPO plan anymore! They were 8 months ago but no longer. Only when I emailed to ask was this revealed!! So now, if approved I will have to pay for over 50% out of pocket or find another Doctor who is on the Aetna IN-NETWORK preferred provider list. I called Aetna to ask for a list of names and they were NOT helpful. Told me doctors prefer to not be labeled with that title (lap band surgeon) and suggested I do my own research. HUH!?!?!?!

Anyone here know of a good caring Lap Band doctor in the Houston/Beaumont/Galveston/southeast texas area that is IN-NETWORK for Aetna PPO???? I can't believe they left me hanging out to dry like this....

Any advice is much appreciated as my tears my drown me. :think

my= might

sorry for the typo

Maybe I'm just starstruck but have you called the Methodist hospital in... Houston I think it is? That Big Medicine is filmed at?

Have you tried to go to the Aetna website and look there? Another suggestion is to call back several times during the day and evening. You should get a different person each time and maybe get someone to give you a name.

I just talked to the Doctor that I went to for my Lapband and was told that they take Aetna. They did say to read your policy very carefully to understand what exclusions are in it. My Doctor is Dr. Leggett and the phone # is 281-580-6797 and his website is here. http://www.drleggett.com/

He is located in North Houston. Good luck to you.

Anyone here know of a good caring Lap Band doctor in the Houston/Beaumont/Galveston/southeast texas area that is IN-NETWORK for Aetna PPO????

Any advice is much appreciated as my tears my drown me. :mad: :think

awww...sorry about the run around you're getting. I don't know if he is on your Aetna plan, but my surgeon, Dr. Adam Naaman is totally the bomb! The ENTIRE experience was effortless and wonderful! Here is a line to his website...

Doctor Adam Naaman - Houston Laparoscopic Surgery and General Surgery

Ok my hubby got his approval today from the insurance company but they are holding up mine since the doctor I saw in 2004 retired and I can't get my records!! Sheesh!!! So we have one approval and no doctor!!!

Anyone heard of a Dr. Chung????

Hello kittee I have Aetna and I just had surgery with Dr. John Marsden In the DFW Area. He is the best in my books.

OK!! WE both got our approval's from the insurance company!! 1 more visit to our new Doctor and onto the surgery schedule we go!!!

Thanks for the info and support!! ((((hugs)))

I just spoke to Aetna PPO today to request preauthorization for using the group in Austin Texas that is out of network, to be covered as a participating provider (in-network)..I spoke to the "Care Coordination" folks and they were VERY helpful. Got info from me and they opened a case # for me as my request for a non-participating referral. She said a nurse or case manager would be in touch with me and also my Dr. THere are no "in-network" providers for Bariatric Surgery in the Austin area (within 50 miles of my house), so Aetna is obligated to give me the in-network rates when there is just simply NOT a participating provider close by..Hope this helps?

Gean