Hey from TX

hanes66 · October 2, 2008

I contacted LBS, and I had to go through all of the preliminaries before they sent any of the information to my insurance company. I never contacted the insurance company myself at all. Once I had done everything, they sent all of my information into BCBS and I got an answer from LBS once they had an approval. From that time, all I had to do was to wait for them to get my benefits to see what had to pay upfront and what my full deductible was. I'm going to be $900 out of pocket right up front, and then total is $2000 out of pocket.

To be perfectly honest with you, I liked the fact that i didn't have to talk to the insurance company. If you don't mind my asking, why did they tell you that they would pay for it? Did they give you any reason what so ever? The only other thing that I had to do was to write two letters to cover some of the gaps in my information. One was to explain why I didn't have any of my Weight Watchers information, and to explain what happened to my sleep apnea results. LapBand Solutions is wonderful, and I would recommend them to anyone.

Westtexasdustdevil · October 3, 2008

How much do they charge for this? How or where do you get in touch with them. Any down side?

"If you don't mind my asking, why did they tell you that they would pay for it? Did they give you any reason what so ever?"

Don't mind at all. Both BC/BS of Texas and Firstcare told me that they have never covered it and will not cover it (big period here.) No reason given. I even ask if they could direct me to a policy that they might carry that would pay. They said each state is different and Texas did not have a policy that would, for them.

Thanks,

Rick

Edited October 3, 2008 by Westtexasdustdevil

hanes66 · October 3, 2008

If I were you, I would call BCBS back and ask them what coverage do you have for the Lapband procedure. Then if they tell you that they don't pay, it may be your Firstcare. I don't know anything about Firstcare. What I do know is that there are MANY teachers in my district that have had the band, and they paid for it....

LapBand Solutions # is 972-716-9991. Call them and talk to them. They may have a more insight as to why you were turned down. They may know what Firstcare is. They know ALOT! Keep me posted.