Anyone Out There Have Pacificare (HMO)?

kat72 · August 28, 2005

I just wanted to know if anyone with Pacificare (HMO) has had the lap band surgery approved through this insurance. I called them and was told that only the RNY and the vertical banding are covered. I was just wondering if anyone has been successful in having them cover the band even though they say they do not.

August 30, 2005

I am wondering the same thing... let me know if you find out!!

kat72 · August 31, 2005

Jack, thanx so much for the info. you've provided. I've been told by the insurance co. as well as Don Mills that I could have the surgeon recommend that I have the lap band and it is possible that it could be covered, but who knows? At this point I have not been able to get any other info. from the ins. co. concerning the lap band. They only cover RNY and vertcal banding. I am so confused, because if I can't get the lap band, then I will not be able to have weight loss surgery, because I am not big on all of the risks that are involved with RNY. If you have access to anyone else that I can speak to in Pacificare, please let me know. Thanx!

kat72 · September 1, 2005

Jack, I live in San Diego, Ca. I do not have my members benefit book, but I sure requested that it be mailed to me a few days ago, so hopefully, it will be here any day now. Thanx so much for the info., and I will definitely keep you posted.