ACHESS MERCY CARE??
I have a friend that is trying to get ACHSS (The state insurance program) and she has MERCY CARE to cover a LAPBAND, she already went and saw a Dr. Debarros and they indicated Mercy would not cover through them??? ANY SUGGESTIONS???? I told her I would post it on here and see what all my smarty pants WLS friends have to say! Thanks guys....
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Mercy Care doesn't consider the lap band to be a successful WLS. They will only cover the RNY. I wish that they would've considered it but they won't. Sorry
They actually state that "there is insufficient evidence in the peer-reviewed literature to support their use."
I have the prior auth guidelines if you would like me to email them to you.
Good Luck!
Karen
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