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Does anyone know about having SRS with Aetna student health insurance?

  

Does anyone know about having SRS with Aetna student health insurance?

Postby kippie » Tue Sep 20, 2011 2:43 am

Hi, So im in school right now and Aetna student health insurance covers SRS but they want 2 letters from to mental health professionals. I am currently seeing on which she has a PSY.D and my endocronolgist is an M.D. They will cover it only if one of the providers has known you for 18 months. In the descriptions it states one provider must a Ph.d, Psy.D, M..D etc.

Does this mean i have to see another therapist aswell? Or can my endo be included as one? I meet all the other criteria except that i might need one more therapist.

If you know or have gotten SRS with through them please let me know thanks!!!
kippie
 
Posts: 426
Joined: Thu Mar 31, 2011 8:10 pm

Does anyone know about having SRS with Aetna student health insurance?

Postby acher » Tue Sep 20, 2011 2:44 am

Hi, So im in school right now and Aetna student health insurance covers SRS but they want 2 letters from to mental health professionals. I am currently seeing on which she has a PSY.D and my endocronolgist is an M.D. They will cover it only if one of the providers has known you for 18 months. In the descriptions it states one provider must a Ph.d, Psy.D, M..D etc.

Does this mean i have to see another therapist aswell? Or can my endo be included as one? I meet all the other criteria except that i might need one more therapist.

If you know or have gotten SRS with through them please let me know thanks!!!
Throw everything you have against those bastards, they'll put up walls to stop your pursuit for your true form.

DON'T GIVE UP!
acher
 
Posts: 403
Joined: Thu Mar 31, 2011 4:15 pm

Does anyone know about having SRS with Aetna student health insurance?

Postby hartun39 » Tue Sep 20, 2011 2:53 am

Believe it or not it sounds like their requirements pretty much match the Standards of Care. Basically anyone who's a PhD or above can write you letters. The first letter should come from your regular therapist (Hopefully you've been seeing them 18 months!). The second letter is simply a letter verifying the case information from the first.

The trick is hoping Aetna doesn't try to screw you by saying they don't recognize the persons credentials or some such. So give them the information on the providers and see if they are okay. Your endo doesn't count because he isn't a mental health professional. I would ask your primary therapist for a name of someone to see for your second letter. Then, after checking with Aetna, see that person. A second letter usually only requires one of two appointments.

Also, before you go any further, you might want to check to make sure Aetna doesn't have any more surprises for you. Ask them can you see the surgeon of your choice or do you need to see one of theirs. Another problem you might run into is finding a surgeon that'll accept insurance. You could end being asked to pay up front and hope the company reimburses you.

I haven't used insurance myself, I paid everything out of pocket, but you might find some people who did here:

http://www.TrueSelves.com

Lots of college aged kids there.
hartun39
 
Posts: 376
Joined: Sat Apr 02, 2011 12:53 am

Does anyone know about having SRS with Aetna student health insurance?

Postby filbert » Tue Sep 20, 2011 3:00 am

The main problem with insurance is that most of the major SRS surgeons don't accept it.

Why? Because the insurance companies don't pay enough for the procedure to make it worth their while. Your best chance might be to talk to a surgeon and see if they'll accept the insurance if you pay the difference of whatever their normal rate is, after the insurance pays them whatever it pays.

I do know there are a couple of surgeons on NYC who are taking GHI insurance for the full procedure, but I'm not sure who they are. I could possibly find out.
filbert
 
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Joined: Thu Mar 31, 2011 10:10 am


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