Jump to content
×
Are you looking for the BariatricPal Store? Go now!

My 2nd Post And Is The Same ??...


Guest DANNYD

Recommended Posts

Guest DANNYD

Insurance Carriers That Will Cover This?

Well Im 23 Yrs Old, Im A Little Over 400 Lbs, So I Know I Will Meet The Criteria Especially Being Only 6ft. Anyways Where I Work Were Switching Insurances. Were Getting Blue Cross Blue Sheild, Or United Healthcare, So We'll See, Anyone Out There Wanna Share There Insurance Carriers That Covered This. Where I Used To Work, They Covered 80%, Why Did I Leave, Anyways, Thanks Yall!!

Daniel

Share this post


Link to post
Share on other sites

BCBS of Nebraska covered the band before 2005 this year they are not. I believe every state is different.

Good Luck:)

Share this post


Link to post
Share on other sites

Hey Danny! From what I have "gleaned" from other posts, United Health Care is paying for more Bands than BC/BS...just an intuition...not based on fact at all. If you know the plan numbers, you can usually go online for coverage information. The CDT code for Lap Band is 43843. Good Luck!

Share this post


Link to post
Share on other sites

I suggest to make telephone calls to see if they exclude the band. If they say it's up to medical its a fights chance.

Share this post


Link to post
Share on other sites

Hi Danny,

No generalizations we can make will help you much. It all depends on your state, your employer, and a host of other factors. In general, United HC has been pretty good about covering the band, but large carriers change their policies all the time. And as for BC/BS, it's state-specific and what's true in New Jersey or Florida or Nebraska does not have any relevance for you (unless you're in one of those states, of course).

You need to explore closer to home. Good luck!!

Share this post


Link to post
Share on other sites

bc bs of ma pays for it but i know it does differ from state to state it is best to call you insurance company directly and they will give you the answer you need.

Share this post


Link to post
Share on other sites

I have Empire Blue Direct HMO. The manual said no coverage for obesity related; however with a BMI of 48, diabetes and sleep apnea, it was found to be medically necessary and I was approved within 2 weeks. I am very pleased with my insurance company!

Mayra

Share this post


Link to post
Share on other sites

I have UHC and they paid 90% of everything. It could be diffrent where you are.. I would just call.

Share this post


Link to post
Share on other sites

It depends on the POLICY your employer has with the insurance company. Insurance companys offer many different policies, so stating that a particular insurance company covers the procedure is not accurate.

Share this post


Link to post
Share on other sites
Guest DANNYD

Well thanks everyone, I'm just waiting to hear what Insurance company my company picks.. I work for a large Ambulance company here in South East Texas, and would be using Dr.Speigel, so I hope it works out for me, please, please pray for me!!

Daniel

Share this post


Link to post
Share on other sites

dannyd:my company is changing from cigna to united healthcare may 1. so i have my 1st app. may 9 so i will be thinking of you also . keep me posted when is your 1visit or have you had it already . sandie

Share this post


Link to post
Share on other sites

All of the above is true, however, I have heard from others that BCBS of Texas seems to be quite a bit tougher on their approvals. Many have to go under a one year Dr monitored weight loss effort before they will approve. In general, UHC seems to be less stringent. Good luck!

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×