All active U.S. employees and their family members and pre-Medicare retirees and their family members enrolled in either the MAP Plus Option 1 Low Deductible or MAP Plus Option 2 High Deductible benefit plans are eligible for weight management coverage. Eligible expenses are covered at 100% before deductible and have no annual limit.
Eligible expenses for weight management include:
The reimbursement program does NOT cover:
PO Box 981106
El Paso, TX 79998-1106
The weight management reimbursements are processed the same way as any other health care claim. After your claim is processed and approved, you will receive payment directly from Aetna.
Similar to other health care claims, you must submit your reimbursement request by the end of the year following the year of service/purchase. For example, a claim incurred in February, 2018 must be submitted by December 31, 2019.
Members may be eligible for prescription medication and/or obesity surgery coverage. It is recommended to contact AETNA at 1-888-488-4488 to fully understand this coverage and talk to your personal health care provider to determine if/how it applies to your personal situation.
If you have questions, please contact Aetna One Advocate toll free
Monday - Friday, 8:00 a.m. - 8:00 p.m. ET at 1-888-488-4488