MeFirstFinally 2 Posted July 12, 2011 My work just changed insurance. Our previous insurance specifically prohibited WLS and any complications resulting from same. We now have new insurance and I find myself afraid to call. I am not normally a denial kind of person...if I don't hear/see it isn't real. I am just worried that if I hear that nothing is changes, I will give up. I have finally decided to take some control and I dont know if I will stick to it if the insurance won't help. The idea of saving $10,000 plus dollars is very daunting. Share this post Link to post Share on other sites
Debora Anne 3 Posted July 12, 2011 I woudl call - the worst they can say is ..still not covered and then you are exactly where you afre today....if they say YES then you just saved 10k...Good luck Share this post Link to post Share on other sites
Nechama L 4 Posted July 12, 2011 When my office changed insurances, I went from having to do a ton of things to get approved to only needing a BMI of 40! You might get lucky, try!! Share this post Link to post Share on other sites
bluekerry 3 Posted July 12, 2011 If you don't want to talk to a "real person" ask for a copy of your new insurance policy. It may be listed in the "covered" items. I am a self pay as my BMI was too low for coverage. It's a tough decision to pay that kind of money. I rationalized that eventually I would spend that money dealing with complications of being overweight. It is truly an investment for my future and my health. Good luck. Share this post Link to post Share on other sites
MeFirstFinally 2 Posted July 15, 2011 Thanks for all of the advice. I think I have been afraid to call because I learned early on not to want anything too badly. Another example of things learned in childhood that are hurting me now; I am applying the attitude of a five year old to the needs of a fifty six year old adult. I had to smile when I read that...time to grow up. I will call tomorrow. I think I am going to hanging out on this forum a lot. It is helping me see myself more clearly. Robbie (still working on the signature) Share this post Link to post Share on other sites
sandy1 1 Posted July 15, 2011 Thanks for all of the advice. I think I have been afraid to call because I learned early on not to want anything too badly. Another example of things learned in childhood that are hurting me now; I am applying the attitude of a five year old to the needs of a fifty six year old adult. I had to smile when I read that...time to grow up. I will call tomorrow. I think I am going to hanging out on this forum a lot. It is helping me see myself more clearly. Robbie (still working on the signature) So did you call? What did you find out? Share this post Link to post Share on other sites
highland 168 Posted July 16, 2011 I went through the whole pre op testing/insurance debacle 5 years ago only to learn my insurace did not cover WLS for anyone! I was so discouraged - gained another 40 lbs-aged another 5 years (53 years old now) and decided in May to bite tne bullet and just pay for thr surgery. I had my surgery June 27 and haven't looked back, only wish I would have done it years ago! So CALL!!!!!! Share this post Link to post Share on other sites
MeFirstFinally 2 Posted July 23, 2011 Spell check ate my post. Weird I called the new insurance, Kaiser Permanente, WLS including the band, is covered with a 10% co insurance. They have a contract with a specific hospital which is at least an hour away. It is a center of excellence so I can live with that distance. I called and it wasn't bad news. I am amazed. Thanks for all of the support and good wishes. Robbie Share this post Link to post Share on other sites
dropsizes 2 Posted July 24, 2011 Spell check ate my post. Weird I called the new insurance, Kaiser Permanente, WLS including the band, is covered with a 10% co insurance. They have a contract with a specific hospital which is at least an hour away. It is a center of excellence so I can live with that distance. I called and it wasn't bad news. I am amazed. Thanks for all of the support and good wishes. Robbie Great News Robbie. Just remember to put one foot in front of each other and you will be on the path to good health and Lap Band Health. So happy that you are covered . I too was like you afraid to call but bit the bullet and called. I'm getting my Lap Band tomorrow at 11am. Best of luck to you. Mary Share this post Link to post Share on other sites