Does Insurance Cover Fills?

I was wondering if insurance covers fills. If not, how much can I expect to pay for each fill? Danke!

This seems to vary greatly among surgeons/clinics/insurance carriers, so there is no one answer to your question.

My surgeon's clinic does fills but does not accept ins. for it...costs $150.
I get mine done at the clinic where I did my pre-op....my BCBS ins. covers it and I pay only the co-pay for an office visit.
Some surgeons include a year's worth of fills after the surgery in their price.

You'll need to check your various options and see what works best for you.

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There is no use saying, 'I am doing my best.'
You have got to succeed in doing what is necessary.

I am on Medicare and my fills are covered for 6 mo. I don't know about other insurance companies at all. I hope you get all the right answers. I am visiting my daughter in Tennessee (where I came for my surgery) and have to travel 3 hrs. to Vanderbilt when I start getting my fills, but I will stay as long as it takes to get everything right, which the Dr. says should not be longer than 6 mo. They also cover yearly check-ups. You didn't say who your insurance company is,
God Bless and hope you get all your answers,
Dody

Thread Starter

I have private medical insurance through the school district that I teach in. The name of the insurance company is BSSI. I still have yet to call them and see if they cover the LAP-BAND® procedure, I am anxious about what they will have to say.

Is there some kind of procedure code for fills? My surgeon's office includes the first year's worth of fills, but after that they're $100/each and they don't file with insurance. I was just wondering if I could file it on my own?

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~Meg

My fills are covered by insurance. I just pay the office visit co-pay. I have Anthem BC/BS. But I guess it varies from state to state.

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"I Believe There Are Angels Among Us"

At first, my part was $50, insurance paid the rest. The last fill I had was last week, and I paid nothing. Apparently, I had satisified my deductible or something....
It is totally up to the agreement your school district has with the insurance company. Your doctor's office should be able to tell you.

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Mousecrazy
Banded 7/22/05 by Dr. Marsden, Lewisville, TX
286/200/180 goal
1st fill: 8/25/05 .5cc
2nd fill: 11/10/05 .2cc
3rd fill: 7/27/06 .6cc

I paid out of pocket for my surgery and I just assumed I had to pay out of pocket for fills, too.

I have Blue Cross.

Anyone pay out of pocket but then have their fills covered by insurance? That'd be nice! :-)

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Angela
Banded on May 17, 2006
Dr. Namir Katkhouda
USC University Hospital

Surgery was on May 17, 2006. Weight at that time was 210. First (effective) fill was August 5th, 2006 and at that time I weighed about 202. Currently (January 9th) I'm at 185 pounds--down 25 pounds so far. Would like to get down to 145 or so. Yes, I am a slow loser!