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I have a question.... I have UCH insurance and need to have 2 co-mobidities..... In order to be diagnosed with something, you have to have it, right? What about High Cholesterol? If you have the high numbers, doesn't that mean you have it? Or, does the doctor have to actually make note in your charts that you have it? My numbers have been high the last few times I have had blood work done, but never been "officially" diagnosed I don't think. Would I have to actually be on medication to be seen as having it? My BMI is under 40 so I need 2 co-mobidities. I am on BP meds due to high blood pressure, so I need one more. My labs show me to have high cholesterol, but the doc doesn't want me on meds, she wants me to try diet and exercise first (HAHAHAHA).... Anyway, how does UHC insurance look at these kinds of things? Will the labs that show high levels be enough or do I have to actually be on meds for them to see me with high cholesterol?

I have a question.... In order to be diagnosed with something, you have to have it, right? What about High Cholesterol? If you have the high numbers, doesn't that mean you have it? Or, does the doctor have to actually make note in your charts that you have it? My numbers have been high the last few times I have had blood work done, but never been "officially" diagnosed I don't think. Would I have to actually be on medication to be seen as having it? My BMI is under 40 so I need 2 co-mobidities. I am on BP meds due to high blood pressure, so I need one more. My labs show me to have high cholesterol, but the doc doesn't want me on meds, she wants me to try diet and exercise first (HAHAHAHA).... Anyway, how does insurance look at these kinds of things? Will the labs that show high levels be enough or do I have to actually be on meds for them to see me with high cholesterol?

Thank you for your response, Blund!!! I went for the study and the facility was very very nice. Had a room just like a hotell room (private bathroom, night stands, TV with Cable). It was so nice. I got hooked up on my chest, legs, back, face and head. And yeah, it's a bit hard to get to sleep with all those wires, but I managed to. Had to be waken at one point because I started sweating and that we interferring with things. THEN - 2:30am, I was waken up and told to go home. They lost all power and it didn't look to be coming back on anytime soon. So, I get all unhooked (by flashlight) and was told to come back for a RE do. So, I have to do this all over again Monday night, LOL! Even thru the power outtage, they were very professional. They have never had this kind of thing happen before, so they were pretty embarrassed. ** BTW, I only had 1.5 hours left of testing when the lights went out. I was the furthest along in the study last night, but those results are null. I have to start over from the begining....

Well, I guess I can give my own experience in the morning! I'm going in about 45 minutes to do this study....

Has anyone used this facility? It's off the Tollway in Dallas. I just scheduled a study for tomorrow night and I'm a bit anxious. For one, I haven't been away from my dh or kids overnight in a LONG time and 2) I have a fear of the unknown, LOL! I'm excited and nervous at the same time. I found out yesterday that my insurance covers the band, but since I have a BMI below 40, I need 2 comobidities... I have hight cholesterol, I'm pretty sure my bp is high (going to the doc for that on Friday) so I'm hoping to "seal the deal" with having sleep apnea. A little strange to hope for something to be wrong with me...

pretty interesting and thought some here might want to watch....

But, it's covered at 80/20 and only if I have 2 comobidities. I have a bmi of 37, so I need those comobidities. I have high cholesterol but I need to have one more. I may have high blood pressure because every time I go in my readings are always in the 140/90+ range. My PCP told me at one time that it's just high normal, but it's still normal. I am making an appointment specifically for my blood pressure because if it's high (even normal high), I need to know. I also have a call in to have a sleep study done, so that should be fun! I'm getting a bit excited about this because I thought for sure my insurance wouldn't cover it, but IT DOES! Just got to get them to approve me.

Anyone?? :rolleyes2:

I am still researching everything. I am wondering if anyone her has gone to either Dr Barker or Dr Davidson (both in Dallas, I think). I know Dr Davidson is at Presby Dallas and I think Dr Barker is in Mesquite. Anyway - have any of y'all had experience with either of these doctors? Can you tell me everything you know about them? How are they as surgeons? How's their bedside manor? Their staff? How did you feel about them? Dr Davidson is running a special right now for $9500 thru Feb 29 and my DH and I are both going to his seminar on Feb 6. TIA for any and all info on them!!

My husband and I went for our 1st consultation yesterday and we both have to have testing done with different areas before getting the surgery. We are going to try going thru our insurance first, but I have a feeling they probably won't pay.... So, we are still going thru with the surgery even if we have to self pay. My questions are: * what were all the costs involved? Was the initial amount given to you the full amount or are there hidden costs that I need to be taking into consideration * if your BMI was between 35 to 40, does the center you went to still require you to have a comobidity to go along with your lower ranged BMI (I have a BMI of 36 or so and I'm not sure I have any comobidities - I will need to do a sleep apnea test and I know I have a higher range on blood pressure, but it's never been diagnosed (I have med records that show all my bp ranges, I'm sure). * is there anything esle I need to be researching as for as self pay people go? I feel like I have researched and researched, but could still be missing something.... Oh, I did find a doctor who normally charges $12,500 but is running a "special" (I know that sounds bad, huh) of $9,500 thru 2/29. I thought that was a great deal being as that's lower then anywhere I have researched yet! TIA

My husband and I are going to have the lap band done. We just went to our first consult with Lap Band Solutions, but I'm not so sure my insurance will pay. We are going that route first. If insurance doesn't cover it, we will just go to self pay.... Question... What prices did y'all pay (for self payers) and where did y'all go. LBS wants $15K for it, but I know there has to be a cheaper doctor out there that's close by. Those who had it done in Texarkansas, how much did y'all pay (or how much did the dr charge)? TIA

Jen, Thank you so much for your warm welcome. I'm having my 1st consult on Thurs and am getting excited about getting this process started! Again, thanks for the welcome! :girl_hug:

I've been researching and have met Dr Felts. He is more then likely who I will use when I get it done.

I'm in the D/FW area (Carrollton to be exact). My hubby and I have our 1st consult on Thurs in the Richardson office. If all goes well, we plan to be banded by Dr Felts. We attended his seminar over a week ago and are very excited about this. Dr Felts is such a nice person. We have UHC and are hoping it will be as easy as they (at the seminar) say it will be on getting it approved. I am tempted to call UHC and ask about coverage for it, but I am also afraid it will send a red flag and they will mark our coverage and not cover it, LOL! Silly, I know! Regardless of if it's covered, we are still going to have it done - even if we have to self pay. I'm hoping to be band by end of Feb if all things can go smooth.

Hey all! I'm brand new here and wanted to intro myself. My husband and I just participated in a seminar for the Lap Band and have scheduled our consultation for this next week. I'm excited about this as I have tried every diet known with no lasting results. I'm in the D/FW Texas area. Hope to get to know a lot of you here and hope to gain tons of support and knowledge from y'all!