Does BCBS of TX covers Lap Band????

[ksandez 0]

Starting June 1st i am going to have BCBS of TX and i am wondering if Lap-Band is covered by the above insurance? i have United Health Care for the mean time and i know that UNC does cover the procedure. I have done some research to see if it covers., i have seen some comments that it does and it doesn't covers i am lost really need to find out.

Please help :cursing:

[*susan* 1,709]

Moved to "insurance and financing" forum in the hopes of getting the OP a good response to her questions.

[Bill-D 0]

I have BC/BS and have for 5 years...my employer had an exclusion to gastric procedures so they did not pay for my surgery.

Basically, the employer can choose to "exclude" certain health problems like Gastric, stop-smoking drugs, etc. the employer gets a cheaper rate!

I would almost guarentee you will fall under the pre-existing condition clause and have to wait one full year if they do cover it.

The best way to find out would be to call your HR Dept and simply ask...or get it done while you have insurance that covers it.

Bill

[vzghj3 0]

Yes just received approval from BCBS TX on May 8th. I was concerned because I did have BCBS MI and my company switched us to TX in Jan. I was nervous when this happened because TX has the same policies as IL and heard of all the issues with getting IL approvals. I understand the key to being approved is based on the case your doctor presents on you. Contact BCBS TX immediately and get assigned to an Health Care Advocate, they will work with you during the whole process to make sure you and your doctor provides all of the necessary documents, tests, etc. Good Luck!