tonya66 13 Posted December 17, 2006 I have UHC Insurance and I have been approved for the surgery - YAY. I get my surgery on 1/18/07 (my choice to wait until January). The frist 3 months are basically covered with the price of surgery. My question is, there is not a CPT code for fills and I was wondering if they generally pay for fills? I have to 90/10 plan, where I pay 10%, $100 deductible, $1000 max out of pocket expense. How does the fills work with insurance? Do they pay? Do you pay 10%, do you pay a copay or what? Just wanting to know if anyone had experience with the insurance company I am using..... Share this post Link to post Share on other sites
wanna be thin 0 Posted December 17, 2006 __________________ Sorry, I don't have the answer for you because I haven't got my band yet. But I do have a question for you is your insurance definity health? Mine is out of UHC Choise Plus but it's called difinity health. I live in Southeast Oklahoma and I'm hoping to be banded by the end of January. I would also like to know how they handle the fills. How long did it take you to get approved. We will start the approval process Jan 8th. I wanted to wait and only pay one deductable because mine is 1,000 then pays 90/10. Share this post Link to post Share on other sites
tonya66 13 Posted December 18, 2006 Yes, My insurance is the Choice Plus. It took no time at all to get approved. They sent my letter off to the insurance company somewhere between 11/22 (the day I visited the doctor) and 12/1 (the nurse told me they wouldn't get the letter out until the 1st of December due to the holidays), and I found out 12/11/06 that I was approved. So very fast. I am going to try and call the insurance company today and see what I can find out. I'm at work and it is hard to call since I don't want anyone at work to know about it. They just think I'm going out for a hernia repair, which I am, but I'm also doing the lap band at the same time. Share this post Link to post Share on other sites
HeatherGurl 0 Posted December 18, 2006 Sunshine I have UHC Choice Plus here in Texas. I pay $20 for a fill. (That is my copay for an office visit) Share this post Link to post Share on other sites
tonya66 13 Posted December 18, 2006 Thank you HeatherGurl, one more question, are your fills done Flouro or blindly? Just curious because I know that my doc uses Flouro so I was wondering if the price changes for that? Share this post Link to post Share on other sites
tonya66 13 Posted December 18, 2006 And PS - Wow, look at your stats, congratulations on how much weight you have lost, you have done GREAT! Share this post Link to post Share on other sites
HeatherGurl 0 Posted December 20, 2006 Yes, my Dr. ONLY does my fills under the flouro. (I don't think I would trust it any other way) Thank you! Share this post Link to post Share on other sites
tonya66 13 Posted December 20, 2006 I agree, I only want them done under flouro also. I know some doctors are great and can do it without, but I just don't trust them without the flouro. I'm also getting a low profile port, so my port is smaller and will be harder to fill so fill will need to be done under flouro for sure. Share this post Link to post Share on other sites