I need help

I would really like to have lap band, but I cannot afford it unless insurance covers it.  Does anyone know if the NC State Health Plan (the highest one) will cover it?  Please help.  Thanks so much! Jamie

Yes the NC State plan covers it if you BMI is at least 40 but below 50. Or if our BMI is 35  - 40 w/ a major co-morbidity. :) The BCBS plan requires a 4 - 5 year weight history and that is about all they require besides other test that your surgeon will require. Good Luck!!!!!

For most folks, your insurance card has a number on the back that you can call to get info on your coverage.  The customer service rep will walk you thru what's what.  Also, you can go to the insurance board and see if there is any info there.  Good luck!

NC State Health Plan covers both Lap Band and RNY if you meet certain criteria.  I believe those criteria are: *BMI >40 with no co-morbidities OR BMI >35 with co-morbidities *You have to have 5 years of documented weight history *You have to have a nutrition consult, psych consult and fitness evaluation *You have to have stopped growing (meaning you are not a teenager...) There was not much to do to get approved.  Once my paperwork was submitted to the State Health Plan I was approved in ONE day.  :)  Good luck!!!

Hi, My BMI is like 61.  I am not comfortable with RNY and I do have a fatty liver.  I am not sure what that will mean?  Does that mean I will not qualify?