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any chance with Pacificare???

larrytricia

By larrytricia, in Insurance & Financing

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larrytricia    0

larrytricia
Posted

Hi all,

I was wondering if anyone has been able to get an insurance company to pay for banding if they say in their policy that they do not cover any bariatric procedures?

I have Pacificare HMO and I have noticed that they have yo-yoed between years of covering and years of not covering this procedure. I currently had a doctor attempt an exploratory surgery and was unsuccesful due to my almost 300 pound body. I was hoping to finally do a lapband to only find out they are not covering any bariatric procedures and will not next year either.

Not sure if there is any chances with fighting when the policy states they do not cover. When we spoke to them, they did say it was employer related somehow. We live in Oklahoma and the coverage is state connected as I am a teacher.

Any suggestions would be so appreciated. If not on insurance but how else someone can afford to do this on their own.

Thanks all,

Tricia

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