Guest guest Posted July 7, 2001 Report Share Posted July 7, 2001 Echo: A word of caution from someone who works for Verizon: Many of these large corporations are self-insured and therefore the healthcare providers are only administrators of the plan. The plan description is specific to that large corporation and therefore may not have the same coverage as say someone else with Kaiser in the same city. Call the insurance company (benefit office) and ask general questions ask them if someone was Morbidly Obese (treatment code 278:01) (BMI 40+) and have XYZ co-morbidities and had the recommendation from their PCP and surgeon what other requirements would they need and under what specific circumstances cover WLS. The CPT codes for RNY= 43846, DS =43847. My cheap plan for the management staff that is administered by Aetna would not cover any WLS. Fortunately, my husband's plan covered me. You need to find out what the various plans will cover. If you have not chosen coverage you have the right to make an inquiry as to what they will cover. Good luck to you. Kathie from MD Insurance HELP! > Hey, ya'll! > I really need some help about my insurance! Does ANYbody know of > anyone who works for BellSouth who has been approved for this > surgery? (the DS) > OR anybody who has been approved by any of these insurance companies: > Blue Cross/ Blue Shield of Alabama > Kaiser Permanente HMO > United HealthCare EPO > > These are our 'choices' for insurance coverage and if I can find a > precedence, I would have a better chance at gaining approval myself. > (no pun intended) > > Thanks in advance for any and all help! > > Echo > > > > ---------------------------------------------------------------------- > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 7, 2001 Report Share Posted July 7, 2001 Echo, I was approved from United Healthcare POS, with no problems at all. My insurance started in January, and I had surgery in April. Kim B. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 7, 2001 Report Share Posted July 7, 2001 In a message dated 07/07/2001 12:16:11 PM Central Daylight Time, echo98@... writes: << Does ANYbody know of anyone who works for BellSouth who has been approved for this surgery? (the DS) OR anybody who has been approved by any of these insurance companies: Blue Cross/ Blue Shield of Alabama >> I have BCBS of Ala thru Bell South- my husband's employer. They have denied the DS as " investigational " . I appealed and they still denied it. However, they did send a letter saying they would cover the Roux-En-Y. I can either hire Walter Lindstrom and fight it (with uncertain results), or I can settle for the RNY. I haven't made up my mind yet. I know a lot of people who are happy with their RNY. Cindy W in MS Quote Link to comment Share on other sites More sharing options...
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