What does this mean?

[petag21 0]

I just started looking into the band, and I really would like to do the surgery so I tried to look up if my husband's insurance covered the procedure, and I found this

Weight loss programs whether or not they are under medical supervision.

Weight loss programs for medical reasons are also excluded.

This was in the Will not cover section. Do you think that this diffenetly means that they wont cover the procedure?

[WASaBubbleButt 41]

This is a question for Alexandra, she's the expert in that area. One question I have is Weight Loss PROGRAM... is that the same as Weight Loss SURGERY? Are they saying they won't cover WW or Jenny Craig? Or are they saying no surgery?

Honestly, I don't know.

[petag21 0]

Weight Loss PROGRAM... is that the same as Weight Loss SURGERY? Are they saying they won't cover WW or Jenny Craig? Or are they saying no surgery?

Exactly. I was saying the same thing?

[faithmd 14]

petag21, I know this won't help you over the weekend, but on Monday morning, I want you to go and get your insurance card, then go to your telephone and call your insurance company. Tell them you want to have adjustable gastric banding done and ask if they have a special procedures case manager who takes care of the bariatric cases that you can speak with. If not, then speak to whoever can help you figure out if they cover it and if so, what the requirements are. Have a pen and a pad of paper handy, write down the name of every person you speak to and note the date and time. Make notes of what they say. Most big companies have case managers that deal exclusively with special procedures like this. If not, then with the codes below, you should be able to get somewhere with the rep you talk to.

The codes to ask if they are covered are:

laparoscopic surgical adjustable band:Procedure code 43770; diagnosis code 278.01

Once you have found out from them if they cover it and what the requirements are, ask them to snail mail (and email if they can) you a copy of those requirements.<!-- google_ad_section_end --><!-- / message --><!-- sig -->

[petag21 0]

Wasabubble butt and FaithMD thank you so much for your help. Faithmd I am diffenetly going to do what you said first thing monday morning.