HealthNet do they cover?

[KittyBoozie 0]

I am still trying to find a way to get the LapBand. I have a high BPM shouldn't be a problem but what about HealthNet? What Steps do I have to take?

1. Talk to Primary doc

2. Make a claim with my insurance?

How does this work??? Thanks sooo much for the tips!

Kitty:clap2:

[Alexandra 55]

Kitty, HealthNet generally is band-friendly, but you have to look are your specific contract to see if there is coverage for bariatric surgery. Then you have to see if you qualify medically. The place to start is usually with a physical at your primary care doctor's office, at which he or she will make a recommendation for bariatric surgery. Then you find a surgeon and take it from there. Even if you don't need a referral from your primary doc (that depends on your policy), you will need a report and full physical from that doctor so it's always a good place to start.

Good luck!!

[shues138 35]

I have HealthNet. They are the devil. I was on a 6 month diet, and went through all of their hoops and was denied. So I tried to file the appeal myself and basically their CSR's are about the rudest people in the world, I now have a lawyer who has taken care of the case for me and she said that HealthNet was the worse Insur. comp. she's had to deal with so far. Get used to be putting on hold and re-routed. If you do get denied PM me, I have a phone number of a woman who will give you your stuff out of the Headquarters in Shelton, CT don't ask me how I got it, I have my connections :girl_hug:

Good luck with HealthNet, but if you can save the aggrivation and self-pay.

[KittyBoozie 0]

Thank you both for the advice. You have really helped me. Thanks!

Kitty

[webkat 0]

I called my insurance, Healthnet, and they said it is a plan exclusion. They don't cover Lap Band at all. The guy even supposedly asked a suppervisor to make sure. Should I just take his word for it? What do I do next? Has anyone else had this problem? Should I change insurance?

~Kathy

[mommyindemand 0]

Can I have her information so I can have the contact if I need it.