Regine

i wonder why others premera bc covered lapband under the same plan and mine says no. weird. VERY weird

well i will talk ot my doctor. maybe she even can make a call or two for me to premera bc. i did not specifically see it excluded but when i called they kept on telling me the same thing over and over again which was sorry, but this type of surgery is not covered. hhmm....i learned from this forum that others were covered by premera blue cross with the same plan. why not me? what am i missing here? i am 5'10" and now weigh 243 and climbing with declining health

thanks for your support sweetie. i have an appointment with my dr end of next week because my knees hurt and so forth. i will ask her to please write a letter to my insurance to approve the surgery. think this will do the trick?

just wanted to let everyone know that my insyrance just says no to lapband. I give up. they don't care about me having diabetes, water in my knee, asthma and so forth. guess they like to see me gone for good. if anyone has an idea i'll take it. the problem is that i cannot take off work to go to doctors all the time. i just started this new job. anyways, thank for all the support and maybe one or the other could e-mail me onvce in a while. keep on loosing and stay healthy. i wish i could say the same

Hi I am new to this and will just now start to gather info as much as I can. Thought I woulod start here. I have 2 coverages. One is Premera Blue Cross and the other one through my employer Regence Blue Shield. Before I put the war paint on and call them , is it please possible to give me advice as to how you got them to pay your surgery?:confused2: Your help, advive and guidance is greatly appreciated.

i found it online on their site. I will talk to HR tomorrow. I have absolut no clue as to what to ask for. I am so blonde when it comes to insurances. it's pathetic already. Man, i haven't even started yet and I am about to give up already. thanks so much wendy

This is what i found: Exclusions: In addition to the exclusions listed in the “Benefit Exclusions and Limitations” section of this Certificate of Coverage, Regence BlueShield will not cover the following: • Travel expenses such as, but not limited to, transportation, meals, or lodging. • Lap-band procedures (adjustable gastric banding) • Mini-gastric bypass • Distal gastric bypass (very long limb gastric bypass) • Biliopancreatic bypass with or without duodenal switch • Roux-n-Y greater than 150 cm • More than one bariatric surgery for you or your enrolled dependent while covered under this plan or any other employee medical plan component of The Regence Group Health and Welfare Plan. • Any bariatric surgery that has not been preauthorized. • Any bariatric surgery not performed in a contracted bariatric surgery Center of Excellence. • Weight loss reduction programs, diet programs, gym fees, and drugs for weight loss. • Pre and post operative requirements What insurance do you have and how did you it get approved? Looks like insurnace companies won't help me and rather have me dead. I am so frustrated. What can I do?

OMG Wendy I thank you so very much for your help and congrats to your approval. I hope i can say the same in a few weeks.