Mellie

I'm just curious to know what NC insurances have paid for the LapBand. I have been getting nowhere with BCBS and my patience is wearing thin. I don't know if I should try a lawyer or what I should do next. Please help, any information is much appreciated.

If you don't mind me asking, how did you get up with Don Mills? I have went to the website several times but can't find any information about contacting him. I have spoken with Walter Lindstrom with Obesity Law. Has anyone else had any success with him? I would really like to know before I hire him for my appeal.

Thanks everyone for all the ideas and support. I just feel lost sometimes and overwhelmed with the process of getting this done. It helps to have someone to talk to.

I have blue cross blue shield blue options. They do cover WLS surgery if medically necessary, but they have an exclusion for adjustable gastric banding. They cover the RNY and other surgeries. Is there any way I can fight an exclusion? Also, I was looking up the codes on their website and they do have a code for adjustable gastric banding. Which makes no sense to me if they have it excluded from coverage. Can anyone help me with this?

Thanks Kathy! Oh, I also tried the yahoo groups and receive emails from them but I don't understand the format either. LOL!

Oh yeah, about self-pay, my doctor's office told me to check with carecredit.com for financing. Have you heard of this?

My doctor is C. Kenneth Mitchell in Pinehurst. Rockingham is about 2 hours from Charlotte. I had my GB ultrasound test done today and my bone density test. There has just got to be a way that I can have the Lap-Band done. I'm not giving up.

That is awesome!! I'm praying for the same thing here in NC. Did you have an exclusion for Lap-Band in your policy?

Hey! Thanks for all the support!! I'm in Rockingham NC. I am getting all my tests done and hoping there is some way that I can beat this insurance. If not, maybe I can find financing for it. I feel like my insurance will pay for RNY but I don't want that. I want the Lap Band.

I have Blue Cross Blue Shield of NC Blue Options. I was told that they do not cover the Lap Band. Has anyone had any experience with getting Blue Cross to cover this surgery? Any information would be greatly appreciated.