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UHC Coverage for fills/after-care??



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Hi Everyone! :laugh:

Just got banded (self pay) last Friday evening in TJ and feeling great!

I had a question that I was hoping someone might be able to help with.

Coincidentally, I am also fairly new to UHC (so might be considered a pre-existing condition?). What I was wondering was, if I went to my Doc. and/or insurance and said oh btw, I have this gastric band that you should probably be aware of.... Do you think they would cover check-ups or fills? I think my pcp would probably refer me to a nutritionalist because I am still no where near a goal weight lapband or not, but it sure would be great to have the fills covered too!

I've been reading here for quite some time and all the information posted has been invaluable!

Thanks! :smile2:

Edited by Spendi

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Hi,

I have a question, you indicated that you had your Lap Band in TJ, what doctor and or clinc?

I live in TJ and commute to San Diego, My employer does not offer health insurrance and I have been saving money for the procedure but I am very unsure about choosing the clinic. Your input would be sooooooooooo helpful.

thanks, christina:thumbup::smile2:

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Hi,

I have a question, you indicated that you had your Lap Band in TJ, what doctor and or clinc?

I live in TJ and commute to San Diego, My employer does not offer health insurrance and I have been saving money for the procedure but I am very unsure about choosing the clinic. Your input would be sooooooooooo helpful.

thanks, christina:thumbup::smile2:

I went to Bajanor which from my research here, does not seem to be one of the more popular places but the price ($6800 all inclusive) and the close proximity to the border was pretty much the deciding factor for me. It wasn't the most luxerious place but I got what needed to be done and was then transferred to a pretty sweet hotel! :laugh:

ETA: Since you are in the area and wouldn't need airfare or shuttle service to/from any airports, I imagine just about all the places in your area would be less for you! Good luck!

Edited by Spendi

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Hi Everyone! :laugh:

Just got banded (self pay) last Friday evening in TJ and feeling great!

I had a question that I was hoping someone might be able to help with.

Coincidentally, I am also fairly new to UHC (so might be considered a pre-existing condition?). What I was wondering was, if I went to my Doc. and/or insurance and said oh btw, I have this gastric band that you should probably be aware of.... Do you think they would cover check-ups or fills? I think my pcp would probably refer me to a nutritionalist because I am still no where near a goal weight lapband or not, but it sure would be great to have the fills covered too!

I've been reading here for quite some time and all the information posted has been invaluable!

Thanks! :smile2:

If you did not reveal this condition at the time of your application it could be considered a non-covered diagnosis/procedure. If this is a group insurance from your work and you did not have to reveal this information then it should not be a problem.

However, most of the time if they did not cover the band they won't cover the fills. It will depend on whether your group covers Weight Loss Surgery for the Lap Band. Each group is different.

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Hi, I agree with ccarter that if weight loss surgery is not covered in your UHC plan, nothing associated with it will be covered. I have UHC also in the Chicago area. I did get some of my pretesting covered, cuz the insurance girls filed it as necessary testing for my high blood pressure. Good luck on your weight loss journey. My surgeon's office thinks I'll get banded still this month. Scared and excited, Blueyes

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

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        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
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