I have SCAL KP ... I have a bmi of 42 with high blood pressure that is well controlled with medication. When I finally tracked down my referral from my pcp, I was told that the next Options Program in Panorama City would begin in July. I mentioned the lap band to the person on the phone and was told that the doctor would decide what was best. Just to confirm, I asked if it would take about a year to have surgery. She quickly responded, 'oh no! it'll take at least 18 months and in some cases 2 years!!!'. Well, that was the deal breaker for me, on top of maybe fighting with a doctor for what procedure was best for me. I didn't tell her that though :scared2:
I decided to go elsewhere and self pay. Since that phone call, I have researched a number of doctors and facilities. I have settled on a surgeon, gone to his seminar and had my consultation. My surgery is scheduled for June 22 '09!!!! I still have not heard a peep from Kaiser.
I think many plans will either begin to make it harder get the surgery or stop covering it all together. I think the costs will outweigh the benefit in the long run. Because the assumption is that all fat people are expensive and that's not always true. I think plans will spend more on more skinny people who smoke over time than fat people. I think that's why it takes so long for some plans. They're trying to weed some of us out of the process.
A little secret... I also work for KP and there are HUGE differences between the North and South for many things that they do. It's almost as if the regions are different organizations. So when you hear that they do it one way in the North but not the South, don't be surprised.