I have UHC Insurance and I have been approved for the surgery - YAY. I get my surgery on 1/18/07 (my choice to wait until January). The frist 3 months are basically covered with the price of surgery.

My question is, there is not a CPT code for fills and I was wondering if they generally pay for fills? I have to 90/10 plan, where I pay 10%, $100 deductible, $1000 max out of pocket expense. How does the fills work with insurance? Do they pay? Do you pay 10%, do you pay a copay or what? Just wanting to know if anyone had experience with the insurance company I am using.....

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Sorry, I don't have the answer for you because I haven't got my band yet. But I do have a question for you is your insurance definity health? Mine is out of UHC Choise Plus but it's called difinity health. I live in Southeast Oklahoma and I'm hoping to be banded by the end of January. I would also like to know how they handle the fills. How long did it take you to get approved. We will start the approval process Jan 8th. I wanted to wait and only pay one deductable because mine is 1,000 then pays 90/10.

Yes, My insurance is the Choice Plus. It took no time at all to get approved. They sent my letter off to the insurance company somewhere between 11/22 (the day I visited the doctor) and 12/1 (the nurse told me they wouldn't get the letter out until the 1st of December due to the holidays), and I found out 12/11/06 that I was approved. So very fast.

I am going to try and call the insurance company today and see what I can find out. I'm at work and it is hard to call since I don't want anyone at work to know about it. They just think I'm going out for a hernia repair, which I am, but I'm also doing the lap band at the same time.

Sunshine

I have UHC Choice Plus here in Texas. I pay $20 for a fill. (That is my copay for an office visit)

Thank you HeatherGurl, one more question, are your fills done Flouro or blindly? Just curious because I know that my doc uses Flouro so I was wondering if the price changes for that?

And PS - Wow, look at your stats, congratulations on how much weight you have lost, you have done GREAT!

Yes, my Dr. ONLY does my fills under the flouro. (I don't think I would trust it any other way)

Thank you!

I agree, I only want them done under flouro also. I know some doctors are great and can do it without, but I just don't trust them without the flouro. I'm also getting a low profile port, so my port is smaller and will be harder to fill so fill will need to be done under flouro for sure.