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Self payer! But my insurance covers fills!

I'm so excited right now. I was a self pay for the band- I knew my insurance wouldn't cover it b/c I didn't meet the criteria. So I was banded in TJ by Dr. Ortiz. I was looking for a fill dr in NY and the name Christine Ren kept coming up. So I called her and s/w the receptionist who askd for my insurance info. It turns out she is one of my insurance's network providers and my copay is only $15.00 I called my insurance to ensure this was covered and it is, b/c is considered a specialist visit. I just figured I would let everyone know , b/c I had no idea this would be covered.

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Woooooooooohoooooooooooooo!!!!!!

How exciting!

That is great news. I have spent nearly $1k on fills out of pocket. Strange how they covered my surgery but will not cover fills.

I'm so excited right now. I was a self pay for the band- I knew my insurance wouldn't cover it b/c I didn't meet the criteria. So I was banded in TJ by Dr. Ortiz. I was looking for a fill dr in NY and the name Christine Ren kept coming up. So I called her and s/w the receptionist who askd for my insurance info. It turns out she is one of my insurance's network providers and my copay is only $15.00 I called my insurance to ensure this was covered and it is, b/c is considered a specialist visit. I just figured I would let everyone know , b/c I had no idea this would be covered.

Can you please tell me the cpt code your insurance used to cover the fill? i understand the old one has been changed.

my doc's insurance gal seems to think that since my insurance paid for the lap band that they will pay for fills. i WANT to believe that but i have Medicaid and had to hire a lawyer and fight to get the band surgery done.

cal

Congrats on the good news. I was banded by Dr Ortiz on Dec 18 and it has been nothing but good news ever since...maybe there really is something in the water!:heh::clap2:

Thanks for the info. I'm self pay and i go get my 2nd fill in two days. I'm going to try my insurance . I have blue cross, that would be so awesome if they would cover it......... doubtful but worth a try. Thanks Kelley

That is great wish there was a fill Dr. in So Cali for the swedish band

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