Blue Cross Blue Shield UT Select (PPO)

cpbaby · 09-10-2006, 06:45 PM

Wehave BCBS UT Select through my husbands work (we works for University of Texas). Does anyone know anything about thier coverage of LAP-BAND® or who I would call to find out if they cover it?

dolphinsle · 09-13-2006, 12:18 AM

I am not sure but I have Blue Cross Blue Shield of Texas HealthSelect and they will NOT pay for it in no way. There should be a number on the card or a website you can go to about exclusions. Most likely they will not pay for it. I want to also find a way to pay for it as well.

Lilly73 · 09-13-2006, 01:59 AM

HELLO. All you have to do is call your insurance company and ask if they cover it....they will tell you. I am still in the "research stages" of this also. Good luck!

cpbaby · 09-13-2006, 09:28 PM

Yeah I called! Silly me, I didnt realize I should do that. Got great info...sure hope it works out (a few requirments for documentation)

fda1643 · 09-16-2006, 09:09 PM

my mother has a form of blue cross I can't remember exactly what it is but they said if i can prove that I have been over weight for more than five years and tried to lose the weigh (dieting and excercising i guess) they will cover it.

lpbndinfo · 09-17-2006, 09:33 PM

I found that Blue Cross and Blue Shield doesnt cover the LAP-BAND®. I live in Texas and can share my experience with you... Feel free to contact me anytime.... I was banded 8/26/02 and debanded on 1/6/6... It is a great surgery... but there are other options out there and that should be considered.
Take care and best wishes...:)
Patti
bandinfo@verizon.net

Nathalie · 09-17-2006, 09:40 PM

I am a BCBS of MI and they cover it 100%. I only have to pay $100 out of pocket for my hospitalization.

I think every plan is different, depending your employer and what they cover.

Good luck!

Nathalie

TexasTerry · 09-17-2006, 09:45 PM

It does depend on what options your individual group plan covers. I also have BCBS and WLS was an exclusion. :( (So, I was self pay)
Terry :)

beachgirl · 09-18-2006, 12:11 AM

I have Anthem BC/BS PPO and they didn't cover. I was selfpay and had mine done in Monterrey.

DAA · 09-21-2006, 01:20 PM

I had BC/PS PPO in Pennsylvania. My surgery was covered 100%. I was approved in 7 days. No problems what so ever.

reeburgdon · 09-23-2006, 06:27 AM

cpbaby, what did you find out? I have the same coverage, I work for UT Arlington. Another co-worker mentioned in passing that she was banded in April and that they covered it but I haven't had a chance to talk to her in more detail. Let me know if you hear something and I'll let you know what I hear from her. I'm hoping to get this done asap, I know when I was on the HMO they didn't cover it but now I'm on the PPO.

esiller · 05-23-2007, 11:35 PM

Hey there,

I work for MDACC and have BCBS of Texas and yes they cover the surgery but of course you must met their requirements. I would suggest contacting Cindy Canino at (713) 799-9990 (Texas LAP-BAND Weight Loss Surgery Center Locations | True Results) She'll walk you through the process.

BlackButterfly · 05-27-2007, 07:54 PM

Hello,
I have BCBS/UT Select through Univ. of Texas Med. Branch and they do cover it. I was banded 12-29-06. There is a 6 mo. diet requirement (you can use Jenny Craig, Weight Watchers, L A Weight Loss, etc.) and there are a few other requirements. Also, you must meet your deductibles and out of pocket maximums for the year. But I was approved in less than a week once I met the requirements. The Cust Care Rep was very helpful when I called the Ins. Co. PM me if you need more info.
Good Luck!!!
Myrna

esiller · 05-29-2007, 09:24 AM

Hello Myra,

Thanks for the feedback. Would you mind sharing your experience with me. I'm a litte nervous and I'm wondering if I really should do something so permanent.