wondering and waiting

hamiltonpaula9 · November 13, 2006

I am in the process of getting the insurance company to pay for my surgery - lapband. I am hoping and pray that they paid for something, I had insurance from my current job, but took buy out and no longer have insurance, but my husband does, the question i have is my insurance which recent went ineffective said i need to have a year of trials of doctors and gyms to lose weigth, but i have in it is suppose to be document, so tell me anyone how does this work, I am having my surgery in Jackson, MS will the insurance pay for something or i will have to pay for it. i am discourage:think Thanks , Paula

Kat817 · November 13, 2006

Mine accepted my regular Dr. visits with weigh ins as proof of my time line of obesity. But they did not count towards the Dr. supervised weight loss program, including but not limited to exercise programs, and meeting with a nutritionist. One of the requisites with my insurance was that I have 12 consecutive months of such meetings with my Dr. I began that, and did it for 10 1/2 months, when I was in a car accident, not my fault, and they were going to require me to start the 12 months over, since it had to be consecutive, and my time out for surgical repair to my knee, messed my time up. I appealled it, only to be denied again. I ended up self paying in Mexico. Ironically I used my settlement from my accident to pay for it.

Many insurances are more lenient than mine, I have seen many on here, get approved right off the bat, and many others appeal, and then get approval. So don't get discouraged yet...Might be a good plan just to call and speak with a rep at both insurance options.

Best of luck to you!!!!

Kat