Dr. Grant Searles - my insurance wont cover lapband...now what????

[ashleynino87 0]

well im 23 with a bmi of 45.4 weighing a whoppin 299.2 and i am a diabetic with pcos and my insurance says they will not cover it so i dont know what to do next

[losethemess 14]

First call your insurance company, if you have not already done so and make sure that you have the right information. If they in fact don't cover it switch insurances. You sound like a prime candidate for the surgery. I have BCBS of TX they cover it, so does Aetna.

Good luch

[Carosel2002 0]

I agree with Lose....call around on new insurance. Also have your current general practitioner document EVERYTHING and EVERYTIME you go in to see him/her! Talk to your doctor and let him/her know that your coverage is being a pain, they may be able to help you with that! I was told by a surgeon once that it's all in the way he writes it to insurance.

Hope it goes well!! Good luck!

[malinda1229 1]

If you are in a small group plan (i.e your employer has less tha 50 employee's) it can be excluded. Also you need to be aware that many carriers have MANY different plans so Blue Cross Coast to Coast may cover it but Blue Cross CHP may not. EVERY plan is different. You need to get on the phone with someone at the insurance company and say I want this surgery how do I go about getting it and if I can't why not.

I'm willing to bet it is because you are in a small group!