Insurance and Adjustments

[skyeblu79 0]

Hi, Does anyone know if there is a way to get your insurance to cover your fills? I live in NC and I am planning on going to CO for surgery. I was wondering if anyone self-paid for surgery, but was able to get fills covered.......What is the best way to find out if I can? Should I call the insurance company (UHC) and just ask? Or should I contact the doctor's office first for information?

I have contacted a lot of doctors around here about fills and they are all really expensive. I considered flying back and forth to CO, which may be cheaper than get the fills done here. I just think this may get complicated. What it I was overfilled and I had already gone home? I would still end up going to someone local.

The best rates that I have found here are $500 for the initial visit and $1,000 for the year or $500 for the initial visit and $300 for each fill....The $1,500 for the 1st yr may be the best option, depending on how many times I think I might have to go for fills.

I am just really frustrated and trying to figure out a way to get this done. I am not worried about playing for the surgery, but the aftercare is really adding up. And then I went to my general dr on Thursday and when I was there I asked her whether or not they would be able to take out my stitches there. She basically avoided my question & asked me what kind of surgeon would be ok w/not providing aftercare to their patient. I explained that he does provide aftercare, but I hadn't decided it I was going to do that or just find a dr here. I can't fly back there just to have stitches taken out.

Sorry to ramble.....I would really appreciate any info you all can provide. Thanks!!:party:

[tonya66 13]

I have heard that some insurances will not cover the "surgery", however will cover the fills. Weird, but true. I have done a lot of searching for the CPT code for Lap-band fills but could not find one. I know UHC is pretty good and you might just be out a "co-pay" for your fills. You need to find out if the doc is in network or not.

Good-luck.

[TracyinKS 7]

at my doc office.. they said, as long as insurance approves it the cost of fills is the same as a regular visit co-pay.

[skyeblu79 0]

I guess I could call the insurance company with the code and check w/them. It would be great to only pay the copay.

Thanks for the responses!!