antsmith101

<p>My current Insurance plan is Blue Cross of CA PPO and now its November... which means open enrollment they are only going to offer UHC PPO, HSA, HRA or Kaiser (CA). It don't say anything about Choice or other UHC plan. </p> <p> </p> <p>My PCP has me already tested for Sleep test done (got sleep apeana), Diabetes, High blood, High Cholesterol, and BMI 46</p> <p> </p> <p>Surgeon is Blue Cross and UHC cover but havent told him yet my insurance in switching over cause i just got mail this Saturday that company is switching </p> <p> </p> <p>So what are the requirement for UHC PPO for Lapband surgery? Blue Cross dont require 6month supervised medical diet and i'm hoping UHC dont either because i want surgery now and been on mannnnny diets over 15years.</p> <p> </p> <p>Hope to get some helpful information here from you guys.</p> <p> </p> <p>Orange County, CA</p>

KingJes, you have Blue cross PPO of CA right? How many test did the doctor put you through after your visit and how long did it take to get your answer from insurance? peacebaby, They told you that you have to pay 4200$? Did you pay piror like they asked or you end up paying later? Did Blue Cross of CA PPo also require you to have surgery at center of excellence? Thanks all...

I was wondering if anyone had Dr. Crookes for Lap Band? I live in Orange County and well my doctor refered me to go to USC for Lap Band in LA and was refered to Dr. Crookes. I have checked online for more information on him and they seem positive but not alot.... So im asking here...like Does he help you get your testing and paper work done fast to insurance?? Helpful in working with you after surgery? and?? Is he expensive?? I'm on a limited budget and well... some are like 15-17k and then jump up to 20-25k. I know my insurance will cover most of it (80%) but still 20% is alot for someone that single and not large income. Thanks all...

Did Blue Cross cover all your cost for the test you had to do prior surgery? Glad I canceled trip now cause i rather have money for surgery then wait couple extra month to save... Glad to have so many helpful people on this forum =) Thanks

Well I just canceled my holiday trip and stuff, after reading they want money piror to admission to surgery. So average cost of surgery is like 15-18k and 20% is like 3-4k that is needed piror surgery. Glad i got some money saved away. Thanks for the info. very helpful.

I was checking on forum and most people say insurance payed for Lapband but was it 100% cause I talked to my insurance and I think they only going to cover 80% but im not sure... I dont see my doctor till Nov 26. Another question... They said when I see doctor i will need to complete couple test.... so how long does it take to complete and when will they talk to my insurance company?

Thanks Goodtime... I'm just little worried cause 20% of 15-20k, is little expensive to just pull out of pocket and pay. Well appointment in couple weeks so ill find out then

so did you have to pay the 20% up front or in monthly? cause thats alota money to get right away but i know its worth it. Thanks for info... I like to have information before hand then getting shocked at doctor office

I have Blue Cross PPO of CA. When I called they told me the coverage is 80%, is this what they told you? When do you pay for this and can it be done monthly payment? They told me I had to go thorugh couple test also... are those the only test they asking for? I have meet with nutritionist, did sleep apnea test (test positive... now sleeping with mask), diabetes, high blood pressure, and high clesterol, bmi 46.3, and possible gout How long did it take you to get finish testing and get permission for surgery? Thanks for any info

I'm new to here on this forum. Hello I got couple questions that may have been asked couple times on forum but here it goes..... My insurance is Blue Cross of CA (PPO) My BMI is 48 :embarassed: I have Diabetes, High blood pressure, High cholesterol, sleep Apeana, and just plain fat for over 15year with many diet try So I visit my doctor and he recommend me to Bariatric Surgery for Lapband. So now I have a appointment to talk to Surgeon and also appointment for required seminar. So what are the requirements I need do to guarantee surgery from my insurance? and.... what is the length of time before surgery?