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Aetna is covering my procedure!



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Posted (edited)

Hi Everyone, I'm really, really early in my weight loss journey. This board has been invaluable. Still in the insurance phase. I was initially all for going to Mexico because a friend went and had great results as well as the attractive cost and basically not having to wait and deal with red tape. I also feel the drs. in mexico are just as good. I did find out my Aetna PPO will cover in the USA - Hurray. I have a choice of 6 month nutritional counseling or 3 month nutritional and primary dr. visits. I'm opting for the 3 month obviously because I'm an impatient person. I really wanted to go to Jacksonville Florida to the mayo Clinic. But the Mayo clinic bariatric said I wasn't covered. I showed them the info that I was covered and we went back and forth and I finally gave up. I felt sad too because I know Mayo Clinic is top notch and I've had other surgeries there. So after leaving messages at several bariatric providers in Florida, Florida Hospital actually now Advent Heath in Celebration called me back and assigned me an advocate. I know it's not the mayo clinic but its still a good hospital. I gave them my insurance info and what do you know, I'm covered! (Just like I thought) So...just starting my 3 month journey but this post is to let people know to not give up. I have a full time job and it felt like just scheduling and doing this research has been a 2nd full time job. I was willing to spend out of pocket $20k for this surgery in US. Then happy to find it was $4200 for mexico surgery. Now Advent Heath told me my co-pay will be $476.00 I'm elated and plan to use any extra money towards any skin removal surgery, even though everyone says why bother you are in your 40s. I don't care, lol!

Edited by Panda333
typo

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I have Aetna PPO as well. But I have a coinsurance and will have to pay 15% of of my surgery. But I’m just glad they cover it. Best of luck to you ☺️

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Such good news it's worth posting twice!

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Ha....I am finding out there are more "hidden" charges than I thought. My advocate made it sound like I may $476 after my $2200 deductible is met but there are many more charges as others have listed. Nutrition, bloodwork, tests, psych eval, and I'm sure numerous hospital fees.

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Tell her your name is Panda not FOOL, and you don't appreciate things tacked on at this stage of your JOURNEY. You didn't plan on supplying their entire budget, did you? Spread and smooth things out if you can, yeah he surgery and outcome are worth it ALL but jeesh WHY YOU AND WHY NOW?

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And PS if those Check into Cash places are legal in your state,DON'T GO THERE- they are a Blight and a Debt you can't get rid of easily! Thank God Above Ohio pulled their fangs April 1sr!!!

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