Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Lap-Band Caused Me To Get Turned Down For Private Insurance!



Recommended Posts

We lost our insurance through work, due to a "reduction in work force" termination. No problem, I'm pretty healthy so I'll just go out and get a high (I mean really high) deductible health insurance plan.

I just found out that because I have a lap-band, I was denied coverage! Since being banded my health has improved dramatically and I've been able to quit taking two quite expensive prescription medications, but that obviously doesn't matter to BCBS!! And now I can't get health insurance anywhere else because about the fourth question in any application is "Have you ever been denied health coverage". I would have even been satisfied with just catastrophic coverage, but I can't even get that now.

As frustrating as it is, I still don't regret getting the band. If I hadn't gotten the band, I'm sure I would have been denied due to high blood pressure and GERD anyway. Seems like it's just another form of obesity discrimination -- damned if you do, and damned if you don't!

Share this post


Link to post
Share on other sites

I am self employed & could not get insurance b/c I was taking more than two antidepressants. I got insurance through the Texas high risk pool which is double normal rates. Now that I'm only taking two pills I checked into new insurance. The agent checked & said the two she checked with would not take me b/c of my lap band surgery in September 2011. However she said one, maybe Aetna, said they would consider after one year. I'm hoping to be at goal then & will try again. I would still have had my surgery. Also, she said she would not use my personal info when checking, only initials. So I'm assuming I haven't been "officially" turned down. It's really ridiculous b/c I was self pay & now will be healthier than ever.

Good luck!

Share this post


Link to post
Share on other sites

I'm so sorry you are having troubles. I never thought about that aspect of the surgery. It seems like even if you had your wisdom teeth pulled it's considered a pre existing condition and they'll turn you down. *sigh* it's all very discouraging. I'm glad you guys said you're happy you did it anyway. I'm preop so this weighs on my mind.

Share this post


Link to post
Share on other sites

Sorry if i sound ignorant but what health ins covered your lapband surgery in the first place. Do they have a private plan?

Thats outrageous for one insurer to cover the procedure but others to deny you bacause of that same procedure.

Thats just wrong

Share this post


Link to post
Share on other sites

We lost our insurance through work, due to a "reduction in work force" termination. No problem, I'm pretty healthy so I'll just go out and get a high (I mean really high) deductible health insurance plan.

I just found out that because I have a lap-band, I was denied coverage! Since being banded my health has improved dramatically and I've been able to quit taking two quite expensive prescription medications, but that obviously doesn't matter to BCBS!! And now I can't get health insurance anywhere else because about the fourth question in any application is "Have you ever been denied health coverage". I would have even been satisfied with just catastrophic coverage, but I can't even get that now.

As frustrating as it is, I still don't regret getting the band. If I hadn't gotten the band, I'm sure I would have been denied due to high blood pressure and GERD anyway. Seems like it's just another form of obesity discrimination -- damned if you do, and damned if you don't!

Can you stay on it thru COBRA. I think they have to let you?

Share this post


Link to post
Share on other sites

Can you stay on it thru COBRA. I think they have to let you?

Oh, yeah, but the price of COBRA is absolutely outrageous, especially when you've lost an income! It is our only option, so we're going to have to suck it up and do it, but at $1,558.13 a month, it's going to be painful!

Share this post


Link to post
Share on other sites

Oh, yeah, but the price of COBRA is absolutely outrageous, especially when you've lost an income! It is our only option, so we're going to have to suck it up and do it, but at $1,558.13 a month, it's going to be painful!

OMg that cost is awful for you, wouldnt u be better off just putting the money in a savings account and pay for what treatment u need ? that would give u around $18,000 a year ..

am so glad i live in the UK and dont have such problems ..u have my symapthy ... good luck !

Share this post


Link to post
Share on other sites

I actually applied for life insurance about 9 mths after having the band placed. They doubled my premium because I guess I have a greater chance of dying now that I'm no longer obese! Doesn't make sense.

I could see a medical insurance saying that nothing related to the band would be covered, but not denied. I guess we're being punichsed for getting healthier!

Marci

Share this post


Link to post
Share on other sites

Sorry if i sound ignorant but what health ins covered your lapband surgery in the first place. Do they have a private plan?

Thats outrageous for one insurer to cover the procedure but others to deny you bacause of that same procedure.

Thats just wrong

The really ironic thing is my insurance was with Blue Cross Blue Shield and they covered my band surgery 100% without batting an eyelash! The company I applied to for the private insurance that turned me down was Blue Cross Blue Shield!! Go figure!

Share this post


Link to post
Share on other sites

OMg that cost is awful for you, wouldnt u be better off just putting the money in a savings account and pay for what treatment u need ? that would give u around $18,000 a year ..

am so glad i live in the UK and dont have such problems ..u have my symapthy ... good luck !

We briefly considered this, but one hospital stay if one of us, say, had a heart attack or something could ruin us financially. We're trying to make it through this period of unemployment without jeopardizing our financial future, so we just can't afford to take that gamble.

Share this post


Link to post
Share on other sites

Reading things like this makes me very happy I live in Aus. Our healthcare system is not perfect, far from it but at least i know that even if I didn't have private health insurance I would get the medical help I needed - eventually! Having private health insurance here is quite weird. It lowers what you pay in tax, it means that you get medical procedures done quicker but it also means that you end up paying more for them because of the ridiculous out of pocket expenses.

Share this post


Link to post
Share on other sites

We lost our insurance through work' date=' due to a "reduction in work force" termination. No problem, I'm pretty healthy so I'll just go out and get a high (I mean really high) deductible health insurance plan.

I just found out that because I have a lap-band, I was denied coverage! Since being banded my health has improved dramatically and I've been able to quit taking two quite expensive prescription medications, but that obviously doesn't matter to BCBS!! And now I can't get health insurance anywhere else because about the fourth question in any application is "Have you ever been denied health coverage". I would have even been satisfied with just catastrophic coverage, but I can't even get that now.

As frustrating as it is, I still don't regret getting the band. If I hadn't gotten the band, I'm sure I would have been denied due to high blood pressure and GERD anyway. Seems like it's just another form of obesity discrimination -- damned if you do, and damned if you don't![/quote']

Check out high risk pool for your state. I was reject by bcbs because surgery was less then year old. When I called recently I was told had to be at 215 so bmi would be low enough. So still on high risk insurance. Also when you apply ask for a low income reduction. I had to send stubs from unemployment. Reduced my premium by 200. Doesn't cover fulls though.

Share this post


Link to post
Share on other sites

I was turned down/denied private health insurance a few years back because I was overweight. Maybe I should contact that same insurance and see if they turn me down because of the band. I bet they would and now my BMI is "normal".

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • rinabobina

      I would like to know what questions you wish you had asked prior to your duodenal switch surgery?
      · 0 replies
      1. This update has no replies.
    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×