BC/BS IN IL- DO YOU HAVE TO HAVE A CERTAIN PLAN?

CHUNKYMUNKY_08
on 10/6/08 11:12 pm, edited 10/6/08 11:29 pm
GOOD MORNING!!

I have spoken to my pcp and he is ordering me to go to the University of Iowa for testing of my lap band to make sure everything is okay because of the complications I am having.

However, I am in the process of looking into BC/BS of Illinois for insurance.  I currently have United Healthcare but our plan does not cover WLS so when I had the band I did self-pay. Now as I am contemplating moving to a different insurance I am hoping that I may have some options here!

Does anybody know if when you have BC/BS of Illinois what specific plan does cover for WLS???!!!

I really am curious and wondering if anybody on this forum would know or be able to help me out on this.  I would greatly appreciate it!!

PLEASE HELP!!  I'm at my wit's end and between fighting the band, doctors and insurance....I just want to get back to the road of weight loss for my health!!

thanks for the help and for listening!!

*~Da Chunkster~*
"Sarcasm is just another free service I offer"~ Brian the Dog
"Never underestimate the power of stupid people in large groups!!"
"I'm a cute & TAN all year round...SO don't hate & be jealous."

ChristineB
on 10/6/08 11:57 pm - Western 'Burbs Chgo, IL
Are you talking about going out and buying a policy or your employer has a group policy? As far as a particular policy with BCBS of IL most employers have a list of options to choose from to create coverage for their group. It would be almost impossible for anyone to say for certain which specific plan you should choose. Have you asked your question on the insurance forum on this site? There might be people there that could answer your question. You can also search BCBS IL web site and see if you can put together coverage for yourself. http://www.bcbsil.com/ 

Chris

 
Open RNY May 7
260/155/140 




 

CHUNKYMUNKY_08
on 10/7/08 12:13 am
Thanks for the information.

I am buying the policy.  We are up for open enrollment w/UHC right now and I am weighing my options to go get my own policy that I HOPE will cover WLS.  I am tired of fighting UHC for one thing or another....either they blame my employer or they say they need one more thing to prove I need surgery.

Well, beings I already had surgery out of my own pocket and am having complications I am looking to possibly have a revision.  And I may have to pay out of this from my own pocket in hopes that then I can go to another insurance.

I seriously don't know what to do anymore but the money is running dry and the options are getting limited.  So, I am needing some kind of help to figure this stuff out.

*~Da Chunkster~*
"Sarcasm is just another free service I offer"~ Brian the Dog
"Never underestimate the power of stupid people in large groups!!"
"I'm a cute & TAN all year round...SO don't hate & be jealous."

crystalglass_33
on 10/7/08 12:31 am - Waterloo, IL
HI! I am new to this website but I hope I can help. I had my surgery a month ago and I specifically enrolled in Anthem BC/BS PPO because they do cover WLS as long as you meet the criteria which wasn't too hard, in my opinion. Hope this helps :)
CHUNKYMUNKY_08
on 10/7/08 12:51 am
are you through an employer or your own policy??

*~Da Chunkster~*
"Sarcasm is just another free service I offer"~ Brian the Dog
"Never underestimate the power of stupid people in large groups!!"
"I'm a cute & TAN all year round...SO don't hate & be jealous."

birder I.
on 10/7/08 2:54 am - Rockford, IL

Having had surgery already I can almost guarantee that you won't be able to get coverage under pre-existing condition status. Only through an employer might you get coverage but an individual policy is unlikely. Before you give up your work insurance, check this out thoroughly.

Connie 

 

http://www.obesityhelp.com/forums/gay_lesbian_bisexual_transgender/

 

crystalglass_33
on 10/7/08 1:04 pm - Waterloo, IL
I have insurance though my employer. I specifically got this plan because I had done research and they said they covered WLS. I ended up having to pay a little over $1000
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