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I have Aetna PPO and I was wondering what I’d have to pay out of pocket. We have a 15% coinsurance.

I have Aetna PPO. I was trying to get an estimate of what I will have to pay for the actual surgery. Anyone else have Aetna PPO?

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    • jg7979
      jg7979

      If you have access to Aetna's website, you can access the list of providers. aetna-ioq-bariatric-guide.pdf

    • SusieQ2019
      SusieQ2019

      I have Aetna EPO plan and my deductible is $1,000.00 plus $50.00-$60.00 for some doctors visits.

    • Panda333
      Panda333

      Hello, I have Aetna POS II. I'm still in pre-surgery and have been reseraching this. My deductible is $2200 but out of pocket max for in network is $6,000.00. Mayo clinic is in network for aetna s

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    Any luck getting approved?

    My Aetna plan required me to choose from a very small list of facilities that they designated as centers for excellence. Maybe they rejected the provider if your plan does not exclude bariatric surgery.

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    On 5/31/2019 at 1:47 AM, GettingDHealthy said:

    I’m on Aetna PPO and got denied this week even though I meet all of the requirements for surgery. They said that bariatric surgery is not covered under this plan ?

    That is so frustrating! You went through all of the steps and didn't get to have it? I'm one month in to my pre-surgery program and I also have aetna PPO. I just looked and AETNA PPO says surgery is covered. you should push back!

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    • 1 month later...

    If I may can I ask you if this insurance is through your employer or or spouses & is it Aetna Erlanger? Reason for asking is my husband works for Erlanger here in Chattanooga,TN. and my deductible has been met for 2019.

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