so cal individual insurance

February 28, 2005

I'm just starting to look into a lap band. I have keiser permenete individual plan and resently found they only cover gastric bypass which I don't want. Does anyone know a so cal insurance that might cover lap band surgary?

Penni60 · February 28, 2005

Shirley: I have PacifiCare and I just recently heard they will cover the band now but you do have to FIGHT with them. I self-paid and am now in the process to get them to reimburse. They have not said NO but they have not said YES either. Still in a battle.

Can't speak to other So Cal Insurance carriers.

March 1, 2005

Thanks for the info. I'm 26 5'5 and 245 lbs I am afraid to change insurance cariers, do you think if I try to transfer to your insurance that they would expept me as a member

Penni60 · March 1, 2005

I can't tell you the answer to that question. Some insurance carriers have a list of things that will keep you from being covered. Overweight is one of them. I don't know the list that Pacificare goes by. I am covered through my work policy so they had to take me.

I would say to fight it out with your own carrier first.

New Hope · March 1, 2005

Hi, Shirley, have you checked w/your Benefits Coordinator at work? He/she should be able to give you accurate information concerning their particular contract w/your health insurance company. Best of luck to you!