Lap-Band and M-Plan or Anthem

callalilly1975
on 5/11/07 5:24 am - Shelbyville, IN
I am at the very beginning stages of considering WLS, Lap-Band in particular. I have M-Plan, but could switch to Anthem (Wellpoint) if it's easier to be approved. Any recent experience with either company would be great. Thanks!
lovablenina
on 5/11/07 5:54 am - Noblesville, IN
I have anthem and it took about a week and a half for the approval. Kristina
miklynn611
on 5/11/07 6:00 am
any chance you can have both insurances???? that might benefit you to meet out of pocket costs.... Mplan is a little more strict than Anthem... it takes about a week to get approval from Anthem...
Tsmiles
on 5/11/07 6:27 am - New Whiteland, IN
Hi Nicole, I never could get approved by M-plan last year. I switched to Anthem the beginning of the year and had not problems. Of course this does vary by what your employer purchases. I would call each and get their requirements. They should be able to fax them to you. Good luck, Tania
Sandra1234
on 5/11/07 8:31 am - PLAINFIELD, IN
I have mplan and they pay for the surgery for the Lap- band but not the retighting of the band after surgery so you might check with yours... they pay for the rny....
Annette C.
on 5/11/07 12:17 pm - Danville, IN
A lot will depend on your employer and the coverage they carry. I have M-Plan through the State of Indiana. They would only pay for RNY. Lap-band was not covered at all. However the Anthem plan through the state would not pay for any WLS. Best of luck. Annette
(deactivated member)
on 5/11/07 9:35 pm - Terre Haute, IN
Did that change? I have Anthem through the state, and they paid for my RNY. Linda Vicory
(deactivated member)
on 5/11/07 9:37 pm - Terre Haute, IN
Nichole, I have no experience with MPlan. But I do have Anthem. They approved my RNY before I had even finished the 6 months doctor supervised diet (which was supposed to be their requirement!) I started the diet at the end of July, and had surgery at the end of November. Got approved in the end of September/beginning of October. Linda Vicory
callalilly1975
on 5/12/07 6:17 am - Shelbyville, IN
Thanks for the responses everyone. I'm going to find out everything I can. Wish me luck!
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