Does Aetna Insurance Cover Gastric Sleeve Surgery

How much is skin removal surgery exactly. If you have coverage check if you meet Aetnas clinical criteria for bariatric surgery by reviewing the clinical policy bulletin for Obesity Surgery CPB 157.

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Aetna considers medically necessary surgery to correct complications from bariatric surgery such as obstruction or stricture.

Does aetna insurance cover gastric sleeve surgery. Each Aetna California insurance policy can vary on what weight management or bariatric and gastric surgery expenses are covered or excluded so it may be easier to have our Gastric Sleeve. Health insurance or health benefits plan covers bariatric surgery. Obesity-causing depression is not a reason for denial for obesity surgery.

- 19000 without insurance. Aetna Anthem Blue Cross Blue Shield Cigna and United Healthcare all cover the majority of or parts of gastric sleeve surgeries for patients that meet the eligibility criteria. Get the Best Quote and Save 30 Today.

If youre wondering is gastric sleeve covered by insurance its best to talk to your insurance provider directly about this. In some Aetna policies surgical treatment of obesity is not covered at all. Yes but only if weight loss surgery is a covered benefit under your insurance plan.

Most Aetna HMO and QPOS healthcare plans do not cover surgery procedures or bariatric surgery unless approved by Aetna. Aetna considers open or laparoscopic short or longlimb RouxenY gastric bypass RYGB open or laparoscopic sleeve gastrectomy open or laparoscopic biliopancreatic diversion BPD with or without duodenal switch DS or laparoscopic adjustable silicone gastric banding LASGB medically. Take our bariatric surgery selector test.

Unsure of which procedure is right for you. Aetna covers 5 weight loss procedures including the Gastric Sleeve Gastric Bypass Lap-Band and Duodenal Switch assuming your policy includes bariatric surgery. If your insurance company falls under the column that needs to be verified you need to call them and ask if you have obesity bariatric benefits and if so if they cover procedure code 43775 which is the gastric sleeve.

Yes Aetna Health of California will cover your Gastric Sleeve Surgery as long as your insurance plans requirements for gastric weight loss surgery are met. Most Aetna group HMO and POS plans exclude coverage of surgical operations procedures or treatment of obesity unless approved by Aetna. 5 feet 6 inches.

The following procedures are not covered by Aetna. Aetna Covers Four Kinds Of Weight Loss Surgeries. Aetna doesnt offer any individual health plan that covers bariatric surgery.

Gastric Sleeve Patients. For Aetna plans that cover bariatric surgery here is a summary of the criteria for gastric bypass approval. Aetna considers open or laparoscopic short or long-limb Roux-en-Y gastric bypass RYGB open or laparoscopic sleeve gastrectomy open or laparoscopic biliopancreatic diversion BPD with or without duodenal switch DS or laparoscopic adjustable silicone gastric banding LASGB medically necessary when the selection criteria listed below are met.

Aetna Anthem Blue Cross Blue Shield Cigna and United Healthcare all cover the majority of or parts of gastric sleeve surgeries for. Below is a list of the major insurance companies that may or may not cover the gastric sleeve surgery. - 3500 with insurance.

If you are looking for information about your insurance you may take help about it. - Free Quote - Fast Secure - 5 Star Service - Top Providers. Whether your insurance covers it many insurances including Medicare Medicaid and many individualfamily and employer-provided policies cover the majority of costs for gastric sleeve gastric bypass LAP-BAND and duodenal switch.

Does insurance cover gastric sleeve. Which insurance covers gastric sleeve. This procedure removes a portion of the stomach creating a new sleeve-like tube-shaped stomach also referred to as a weight loss sleeve.

Ad Compare Top 50 Expat Health Insurance In Laos. Aetna considers repeat bariatric surgery medically necessary for members whose initial bariatric surgery was medically necessary ie who met medical necessity criteria for their initial bariatric surgery and who meet either of the following medical necessity criteria. Does Aetna pay for gastric sleeve surgery.

This page explains the coverage requirements plan types and covered procedures as well as how to appeal a denial. Lap Gastric Sleeve Sleeve Gastrectomy. Ad Compare Top 50 Expat Health Insurance In Laos.

The patient must be morbidly obese for at least two years with a BMI of 40 or more or have BMI greater than 35 in conjunction with any of the following. Get the Best Quote and Save 30 Today. Bariatric surgery so long as its an idiopathic intracranial hypertension treatment Mini gastric bypass.

If you have questions about your plans coverage when it comes to a Gastric Sleeve procedure or other bariatric surgeries West Medical offers a FREE Insurance Coverage Hotline to determine the coverage rate of your plan. Nor is it their only one. Insurance Companies That HAVE Benefits for Bariatric Surgery Avmed Miami-Dade County.

The short version of the answer to Does Aetna cover gastric sleeve is an unequivocal No This plan is not Aetnas primary way to cover gastric bypass surgery. Coronary heart disease Type 2 diabetes mellitus clinically significant obstructive sleep apnea or medically refractory hypertension. If the skin does not hang down that low it can be very difficult to support medical necessity according to insurance.

What does it cost. Aetna Anthem Blue Cross Blue Shield Cigna and United Healthcare all cover the majority of or parts of gastric sleeve surgeries for patients that meet the eligibility criteria. - Free Quote - Fast Secure - 5 Star Service - Top Providers.

Bariatric surgery as a. What we find more often is that even if the insurance company did agree to cover the panniculectomy most patients are not satisfied with their abdomen after the procedure. RYGB sleeve gastrectomy or laparoscopic adjustable silicone gastric banding LASGB are all considered medically necessary by Aetna when the listed selection criteria is met.

How much does it cost to remove excess skin after weight loss. Procedures excluded from coverage. What insurance pays for gastric sleeve.

Also understand the costs you are responsible for paying based on your benefit and learn if your benefit coverage is. The following surgeries are not covered by Aetna. Aetnas answer is No.

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