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Self payer! But my insurance covers fills!

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Old 12-27-2006, 12:22 PM   #1
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Smile Self payer! But my insurance covers fills!

I'm so excited right now. I was a self pay for the band- I knew my insurance wouldn't cover it b/c I didn't meet the criteria. So I was banded in TJ by Dr. Ortiz. I was looking for a fill dr in NY and the name Christine Ren kept coming up. So I called her and s/w the receptionist who askd for my insurance info. It turns out she is one of my insurance's network providers and my copay is only $15.00 I called my insurance to ensure this was covered and it is, b/c is considered a specialist visit. I just figured I would let everyone know , b/c I had no idea this would be covered.
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Old 12-27-2006, 02:34 PM   #2
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Woooooooooohoooooooooooooo!!!!!!

How exciting!
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Old 12-27-2006, 09:55 PM   #3
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That is great news. I have spent nearly $1k on fills out of pocket. Strange how they covered my surgery but will not cover fills.
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Old 12-28-2006, 12:17 AM   #4
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CPT fill code?

Quote:
Originally Posted by BrwnEydGrl82 View Post
I'm so excited right now. I was a self pay for the band- I knew my insurance wouldn't cover it b/c I didn't meet the criteria. So I was banded in TJ by Dr. Ortiz. I was looking for a fill dr in NY and the name Christine Ren kept coming up. So I called her and s/w the receptionist who askd for my insurance info. It turns out she is one of my insurance's network providers and my copay is only $15.00 I called my insurance to ensure this was covered and it is, b/c is considered a specialist visit. I just figured I would let everyone know , b/c I had no idea this would be covered.
Can you please tell me the cpt code your insurance used to cover the fill? i understand the old one has been changed.
my doc's insurance gal seems to think that since my insurance paid for the lap band that they will pay for fills. i WANT to believe that but i have Medicaid and had to hire a lawyer and fight to get the band surgery done.

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Old 12-28-2006, 12:30 AM   #5
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Congrats on the good news. I was banded by Dr Ortiz on Dec 18 and it has been nothing but good news ever since...maybe there really is something in the water!:heh::clap2:
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Old 01-03-2007, 12:13 AM   #6
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Thanks for the info. I'm self pay and i go get my 2nd fill in two days. I'm going to try my insurance \. I have blue cross, that would be so awesome if they would cover it......... doubtful but worth a try. Thanks Kelley
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Old 01-03-2007, 07:54 PM   #7
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That is great wish there was a fill Dr. in So Cali for the swedish band
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