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Does Insurance Cover Fills?



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This seems to vary greatly among surgeons/clinics/insurance carriers, so there is no one answer to your question.

My surgeon's clinic does fills but does not accept ins. for it...costs $150.

I get mine done at the clinic where I did my pre-op....my BCBS ins. covers it and I pay only the co-pay for an office visit.

Some surgeons include a year's worth of fills after the surgery in their price.

You'll need to check your various options and see what works best for you.

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I am on Medicare and my fills are covered for 6 mo. I don't know about other insurance companies at all. I hope you get all the right answers. I am visiting my daughter in Tennessee (where I came for my surgery) and have to travel 3 hrs. to Vanderbilt when I start getting my fills, but I will stay as long as it takes to get everything right, which the Dr. says should not be longer than 6 mo. They also cover yearly check-ups. You didn't say who your insurance company is,

God Bless and hope you get all your answers,

Dody

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I have private medical insurance through the school district that I teach in. The name of the insurance company is BSSI. I still have yet to call them and see if they cover the lapband procedure, I am anxious about what they will have to say.

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Is there some kind of procedure code for fills? My surgeon's office includes the first year's worth of fills, but after that they're $100/each and they don't file with insurance. I was just wondering if I could file it on my own?

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My fills are covered by insurance. I just pay the office visit co-pay. I have Anthem BC/BS. But I guess it varies from state to state.

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At first, my part was $50, insurance paid the rest. The last fill I had was last week, and I paid nothing. Apparently, I had satisified my deductible or something....

It is totally up to the agreement your school district has with the insurance company. Your doctor's office should be able to tell you.

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I paid out of pocket for my surgery and I just assumed I had to pay out of pocket for fills, too.

I have Blue Cross.

Anyone pay out of pocket but then have their fills covered by insurance? That'd be nice! :-)

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