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04-04-2005, 09:19 AM
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#1 | | Guest | My 2nd Post And Is The Same ??... Insurance Carriers That Will Cover This?
Well Im 23 Yrs Old, Im A Little Over 400 Lbs, So I Know I Will Meet The Criteria Especially Being Only 6ft. Anyways Where I Work Were Switching Insurances. Were Getting Blue Cross Blue Sheild, Or United Healthcare, So We'll See, Anyone Out There Wanna Share There Insurance Carriers That Covered This. Where I Used To Work, They Covered 80%, Why Did I Leave, Anyways, Thanks Yall!!
Daniel
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04-04-2005, 10:46 AM
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#2 | | Registered User
Join Date: May 2004 Age: 45
Posts: 1,925
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BCBS of Nebraska covered the band before 2005 this year they are not. I believe every state is different.
Good Luck:)
__________________
Formally known as Bubbame20032004
Banded July 16 2004
Dr. Johnell
Starting weight 241.00 / Now 170.00
Unfilled 10/03/05 still unfilled by choice 
unbanded 08-22-08
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04-04-2005, 10:48 AM
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#3 | | ~Kathy~
Join Date: Jan 2005 Age: 43
Posts: 5,397
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Hey Danny! From what I have "gleaned" from other posts, United Health Care is paying for more Bands than BC/BS...just an intuition...not based on fact at all. If you know the plan numbers, you can usually go online for coverage information. The CDT code for Lap Band is 43843. Good Luck!
__________________ Kathy-Dr Kuri~April 8,2005~Inamed 9.75mm/4cc Fills 7/11/05~10/19/05~11/16/06 .75cc total 242high/223.4surgeryday/173.6current/145goal BMI~40.1/37/28.9/24 ~5'5" 68% of excess weight gone!~ 36.5 total inches lost so far! (updated 9-12-06) |
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04-04-2005, 11:29 AM
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#4 | | Registered User
Join Date: Feb 2005 Age: 41
Posts: 222
City: Long Island |
I suggest to make telephone calls to see if they exclude the band. If they say it's up to medical its a fights chance.
__________________ Debby :banana
Surgery Date: May 3, 2005
New York - Dr. Shawn Garber
246/ 182 / 170 first goal/ 155 dream goal
Bearing down and ready to tackle the last 27! |
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04-04-2005, 11:34 AM
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#5 | | Moderator / Admin
Join Date: Jul 2003 Age: 46
Posts: 6,996
City: Morris County State: NJ |
Hi Danny,
No generalizations we can make will help you much. It all depends on your state, your employer, and a host of other factors. In general, United HC has been pretty good about covering the band, but large carriers change their policies all the time. And as for BC/BS, it's state-specific and what's true in New Jersey or Florida or Nebraska does not have any relevance for you (unless you're in one of those states, of course).
You need to explore closer to home. Good luck!!
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04-04-2005, 06:41 PM
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#6 | | Registered User
Join Date: Feb 2005 Age: 44
Posts: 377
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bc bs of ma pays for it but i know it does differ from state to state it is best to call you insurance company directly and they will give you the answer you need.
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04-05-2005, 09:25 AM
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#7 | | Registered User
Join Date: Nov 2004 Age: 55
Posts: 20
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I have Empire Blue Direct HMO. The manual said no coverage for obesity related; however with a BMI of 48, diabetes and sleep apnea, it was found to be medically necessary and I was approved within 2 weeks. I am very pleased with my insurance company!
Mayra
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04-05-2005, 10:44 AM
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#8 | | Banded 4/28/05
Join Date: Dec 2004 Age: 32
Posts: 1,443
City: Albuquerque State: NM |
I have UHC and they paid 90% of everything. It could be diffrent where you are.. I would just call.
__________________ April 28, 2005 Reband - August 31, 2006 Dr. James Smith Pueblo, CO ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ |
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04-05-2005, 01:34 PM
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#9 | | Registered User
Join Date: Mar 2005
Posts: 5
State: Washington |
It depends on the POLICY your employer has with the insurance company. Insurance companys offer many different policies, so stating that a particular insurance company covers the procedure is not accurate.
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04-07-2005, 02:44 AM
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#10 | | Guest |
Well thanks everyone, I'm just waiting to hear what Insurance company my company picks.. I work for a large Ambulance company here in South East Texas, and would be using Dr.Speigel, so I hope it works out for me, please, please pray for me!!
Daniel
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04-07-2005, 08:07 AM
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#11 | | Registered User
Join Date: Apr 2005 Age: 50
Posts: 108
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dannyd:my company is changing from cigna to united healthcare may 1. so i have my 1st app. may 9 so i will be thinking of you also . keep me posted when is your 1visit or have you had it already . sandie
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04-07-2005, 08:41 AM
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#12 | | Registered User
Join Date: Jul 2003
Posts: 3,402
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All of the above is true, however, I have heard from others that BCBS of Texas seems to be quite a bit tougher on their approvals. Many have to go under a one year Dr monitored weight loss effort before they will approve. In general, UHC seems to be less stringent. Good luck!
__________________ Lapband -5-27-2003 Albert Wetter, San Francisco Rebanded due to slippage - July, 2004 Frank Veninga - Dallas, Texas Gallbladder removed - August, 2004 Revised to RNY - Dec, 27, 2007 Wade Barker - Dallas, Texas Beginning - 250 Current - 175 Goal - 135 |
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