Skip to content
View in the app

A better way to browse. Learn more.

BariatricPal

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
  • Appearance

Join BariatricPal free

  • Ask your own questions
  • Reply and follow topics
  • Message other members
  • No cost, no spam

Help ! I have Aetna PPO & they Excluded

Lap Band from me because my company has Small Business Insurance and it says that its not a covered benefit. How can I get by that ?? I feel I shouldn't be discriminated by that just because my employers are cheap and truley could opt for the large business insurance but I know them ( partially family) and they won't employ over the 50 people minimum to get that insurance just because of that am I am to suffer. I would have thought that PPO would be agreat insurance. But you can bet the boss gets everything of "hers" covered once it's denied and she's lucky she can manipulate the health plan to suit her needs and not the needs of the employees. WHAT can I do ? I am desperate ! Please help !

Susan :-(

  • Replies 1
  • Views 790
  • Created
  • Last Reply

Top Posters In This Topic

Popular Days

Featured Replies

Lap Band from me because my company has Small Business Insurance and it says that its not a covered benefit. How can I get by that ?? I feel I shouldn't be discriminated by that just because my employers are cheap and truley could opt for the large business insurance but I know them ( partially family) and they won't employ over the 50 people minimum to get that insurance just because of that am I am to suffer. I would have thought that PPO would be agreat insurance. But you can bet the boss gets everything of "hers" covered once it's denied and she's lucky she can manipulate the health plan to suit her needs and not the needs of the employees. WHAT can I do ? I am desperate ! Please help !

Susan :-(

Susan, when it comes to insurance exclusions sometimes there is just nothing you can do. I would get some advice on how best to present your case and then appeal the decision to the insurance company if there is any gray area. But there may not be.

Many other people have been in this position, and many of them eventually come to the point where they figure out a way to self pay. My doctor (link is in my signature) was only $9950. Some of the Mexican doctors are even less, around $8500, and many people here have used these doctors with great success.

The truth is, even if you pay for it yourself, you will still very likely come out ahead when you consider the lower medical bills in the future for obesity related health problems, lower food cost, and overall better quality of life.

I wish I could tell you that there is a sure way around the insurance exclusion. But sometimes there just isn't.

Join the conversation

You can post as a guest; create a free account to track replies, follow topics, and be part of the largest weight loss surgery community.

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Reply to this topic...

Account

Navigation

Search

Search

Configure browser push notifications

Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.