Gastric Sleeve???

happy_days
on 7/30/10 1:03 pm - Sunny, KY
Hey guys....DSer here, but seeking information for my mom.  Does anyone have the Kentucky State Employee's Health Plan who obtained approval for the Gastric Sleeve?I appreciate any help you can provide.
hollynelson
on 8/1/10 6:19 am - Louisville, KY
i dont believe that insurance covers the sleeve. Talking to my doctors office, they told me it was UnitedHealthcare, Aetna, Cigna, and BCBS or Michigan. So, far. But rumors are there are more insurances that will be covering it soon.

Good luck, Holly
gmcadams
on 8/5/10 10:51 am - Walton, KY
I have Humana with Kentucky State Employee's, I am trying to get my band replaced with the sleeve.  Early stages, getting paper work completed. 
Bucketta
on 8/5/10 12:26 pm
I am in hopes that Medicare pays for the sleeve in 2011 and I am having my band replaced with it too. 

Jacqueline 
 RNY 1/24/11

kylovebug
on 8/11/10 1:02 pm
Just wanted to say hello! Have not talked to you in a while. Who are you going to get to do your sleeve? Hope you are well! God Bless!
Bucketta
on 8/18/10 7:39 am

kylovebug,  I just now saw this message.  If medicare covers the sleeve in 2011 I will have Dr. Sonnanstine do it.  He and I have already discussed it.  Are you still going to have surgery and you still leaning toward the sleeve? 

Jacqueline

Jacqueline 
 RNY 1/24/11

gmcadams
on 9/11/10 5:59 am - Walton, KY
I guess I am in the next step, I have been called by the office to come in for all of my visits.  Praying for good things to happen. 
Father Don
on 8/9/10 12:45 am - Charleston, SC
While the sleeve is becoming proven, (if you follow docs instructions and eat an RNY diet) not many insurance are covering it...some ARE starting to pick it up...but at this point, not many...

What some doctors do is fight for the sleeve by saying there is a health issue that causes the RNY or DS to be unsafe as a single step surgery.  That the sleeve will need to be done to reduce weight and risks associated as stage 1 of a 2 stage operation plan.  but the DOCTORS HAVE to fight for it with this info....

As for your mom's coverage - she should get the policy that covers HER plan...specifically the section that covers her bariatric surgery options.  Make sure it's HER rider, not the generic one - as some employers don't pick up weight-loss or bariatric surgery riders to save money....


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