Approved ---I think

MelissaM79 · November 19, 2007

I went to a Lap Band Seminar in Houston about 6 weeks ago. About two weeks later they called me and told me that my surgery was covered. It is covered at a surgery center in the Houston area. When I asked about what was included, I was told that any xrays, meds and the use of the surgery center was covered. I was told that the surgeon and anthesiologist would bill separately and she could not tell me if my insurance covered this.

I haven't actually talked to the doctor yet, but don't want to waste my time jumping through hoops only to be told that there are additional costs that they didn't tell me about before I go through a sleep study and numerous other tests they want to conduct.

When told the surgery is covered, I guess I expected the surgeon to be included as the surgery can't be done without the surgeon! Am I being taken for a ride? Any guidance would be helpful!

destiny79 · November 19, 2007

I think they mean that you have to pay the Dr. Office vist fee my UHC insurance cover lapband but I have to pay the Dr. $200.00 fee upfront 2 weeks before proceducer and anti. will bill be after

elchewtoy · November 19, 2007

I am right there with you! Just because your insurance “covers” the surgery dose not meant that they will pay for it, which is what I have found out. I suggest you call your insurance company and ask them about coverage and approvals.

Make sure the doctors or facilities are part insurance plan.

I am having the same issues here in Houston.

E

Shalee04 · December 5, 2007

I am right there with you! Just because your insurance “covers” the surgery dose not meant that they will pay for it, which is what I have found out. I suggest you call your insurance company and ask them about coverage and approvals.
Make sure the doctors or facilities are part insurance plan.

I am having the same issues here in Houston.

E

I was told I was approved by UHC on 10-19-07

I had my surgery on 11-12-07

This morning I get a letter telling me it is not covered, go figure that one out, so I have been on phone all morning trying to get this figured out, I wouldn't have had the surgery if my insurance couldn't help me pay for it.

Frustrated to say the least.:cry