Question:
My surgeon is in-network but the hospital she uses is not...

I do not have a choice which hospital to go to. My insurance (AETNA OPEN PPO) requires you to seek precertification of out-of-network charges prior to pre-op testing. does anyone know the liklihood that AETNA will pay at the 80% rate if it's the ONLY hospital available for my surgeon?    — jenn2002 (posted on April 7, 2002)

April 7, 2002
When I first started researching WLS I made an appointment with a surgeon who was on my insurance (Aetna EPO) but then found out the only hospital available to him was not on Aetna. I called Aetna and questioned this since there were about a dozen other surgeons in the area on their plan with no other hospital. They told me if I were approved for the surgery they would work out something with the hospital. I decided I didn't want to go through with the hassle and made an appointment with another surgeon whose hospital was in my plan. You might want to give Aetna a call and ask them how they would handle your situation. -Margaret
   — Margaret G.