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Employer coverage? Anthem bcbs... Everything done! Now the wait :/



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On Nov 27th I completed all of my requirements for my insurance bcbs Anthem

On Dec 5 my information was submitted. My concern is not whether it'll be approved but if my employer covers it.

I checked all over Anthem's website and I couldn't find any detail on my employers coverage. The actual plan DOES cover the surgery.

I called anthem back in September when I was thinking about getting the lapband, and asked if they covered the lapband. The rep said they covered the lapband only. I spoke with the insurance guy at my surgeon office about this and I guess he had the plans details, he said the sleeve was covered. I asked specifically about MY employer, he said yes. So on Monday I will be calling Anthem again. I'm so WORRIED, I've done everything and got my tentative surgery date.

I really don't want to get my hopes up only for them to be torn down.

If you all only had the choice of going with lapband, what would you do??

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Your surgeon's office will probably code it so it gets covered. You can also call your surgen's office and ask for the ICD-9 code they bill under and call your insurance to make sure that particular code is covered. You wouldn't want to get a bill after the fact....just saying

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Thanks so much for response. My surgeon is in their network. Is that code for the actual procedure or just for the billing part?

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