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Question for those whose insurance paid for banding...



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Did your insurance also pay for the other tests and office visits? I have to see my PCP and get a referral for an upper GI and endoscopy (I think that's what it was), and I have to meet with a dietician and a social worker before I can get in the door to talk to the surgeon. Are those things usually covered? LBS is clearly medically necessary, but I don't know if those other office visits are.

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PCP visits had to pay co-pay ($10)

Pre-op test (EKG, Upper GI, etc) - all covered by insurance

Dietician- had to pay co-pay of $20 at each visit

Psych. test - I didnt need one but it was not covered by insurance

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You probably just have to pay Co-pays.. Like you would any other time you go see your PCP for anything. You can ask your insurance provider as well. Good Luck with everything

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My insurance paid for everything except the psych evaluation, too. Even though they excluded banding (at the time) all the pre-op evaluations and testing wasn't necessarily related to banding, so they covered it. My plan covered treatment for morbid obesity so anything coded with that diagnosis was a covered item.

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My insurance covered all of the pre-op testing 100% (I paid co-pays at office visits) The psych visit wsa covered in a seperate mental health insurance policy that my husbands job provides. The back of my insurance card has a number for substance abuse, that is usually mental health services. My evaluation was covered all but $25. I was all too happy to send in that check, I was told it would not be covered and would cost between $400 and $600. So all in all yes my pre-op testing was covered. Now if I could get them to cover more than one follow-up appointment I would be a happy camper. ~Mandy

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