kimblizz

Hi, My first posting!!! I really want to have the lapband done, my question is I am 5 feet tall and weigh 192lbs. I am a yo-yo dieter and dont have much documentation to prove over the past 5 years my highest weights. Do all insurance companies want 5 years history? I have Amerihealth Adminitrators PPO and when I called them they would not give me a straight answer, they said that we would have to submit preauth and wait...Any advise?

sassy37

Hi there
And welcome to TT .
Sorry carnt advise on U.S Insurance as Im the in UK !
Im a banster just wanted to say I love my band and GO for it ...
Wish u luck

Sara x

__________________
Surgery date :Friday 26th Sept 2008

first fill 24.11.08 =6.5cc

Second fill 29.01.09=1 ml

10ml band filled to 7.5 ml ....

I love my band ! 5 stone gone thats 70 pounds

Awaiting third much needed fill ......

MiladyB

No, not all require a 5 year history of attempted weight loss. Mine required a 6 month medically supervised weight loss program.

I would call again and see if you can talk to someone who will give you a straight answer what their criteria is. If they have a website you may be able to find it there too. I know that's where I found the info for my insurance. I just did a search on the site for weight loss surgery or bariatric surgery.

Your pcp may also have an idea if he/she has referred patients for lapband before. Also most surgeon's offices have someone who deals with the insurance end of all of this.

__________________
~Beth~

Little Victories; Grand Rapids, MI
Bariatric Support Group

Diabetes, high blood pressure, sleep apnea, high cholesterol,
peripheral vein disease, joint pain and 210 lbs GONE!!


Century Club: July 3, 2006
ONE-derland: Dec. 22, 2006
Double Century: May 29, 2007
Goal: June 15, 2008

Lap RNY: 1/30/06-Dr Randal Baker
TT/BL: 09/21/07-Dr Ronald Ford
PS Revisions: 04/29/08-Dr Ronald Ford
Gallbladder: 05/14/08-Dr Randal Baker
Emergency surgery (Intussusception): 02/29/09-Dr James Foote

suebry05

Hi!! I too have a band- so far so good!!

My insurance required a 3 year history documented my regular PCP appointments

Good Luck

UndercoverDiva

__________________
Audrey

Live your life in such a way that when your feet hit the floor in the morning, Satan shudders & says, "'Oh shit....she's awake!!'

If you can't handle me at my worst, you don't deserve me at my best!




Height: 4'10.5"
May 2009 - 10 lbs. down
June 2009 - beginning weight 161 lbs.
July 2009 - beginning weight 156 lbs.
August 2009 - beginning weight 147 lbs.
September 2009 - beginning weight 142 lbs.

RNYchick

I have Amerihealth HMO and the wait time is like 5-7 days. I have been told our insurance is one of the easy ones. I am awaiting approval at this time. I am not getting the band however from what I understand only a preauthorization from your surgeon along with Psych eval, Nut eval, Endocospy, letter from PCP stating they recommend BS, and any combos (type 2, sleep apena etc). With your weight and height, BMI may be a deciding factor. Have you gotten check up yet? Good Luck on your journey