First fill and insurance

[bscott3 0]

I was banded on 7/18/07 and I was informed by my doctor that no insurance company will pay for the first fill before 3 months from the operation. Is this true? Have most of you had to wait 3 months for your first fill?

Thank you, I look forward to being a member of this community.

Bruce

[Alexandra 55]

Insurance carriers have specific protocols they follow with regard to how they assess the suitability of medical treatments. This is something I hear doctors talk about all the time, and unfortunately it's hard to fight.

In my experience, different carriers have different protocols, but pretty much none will pay for a fill prior to 6 weeks out (as that is the standard medical regimen). You could argue with the carrier you have, but by the time you're done arguing the time will have passed, so what's the point? They would just cite studies that say waiting three months gives a better outcome (and they are out there, I know), and use that as justification.

Good luck!

[tlthoma3 0]

I had my first fill 4 weeks after surgery. My insurance paid 100% of it (I have Empire BCBS)