PEBB coverage for lap band???

HeidiOR
on 8/1/09 8:32 pm - Independence, OR
I have Kaiser through PEBB. I know they cover WLS, but do they cover the lap band specifically?
If not, does anyone know if any of the PEBB plans cover banding?

Vicki PNW
on 8/2/09 11:08 am
I believe that Kaiser offers only RNYs and no longer performs lap-band procedures.

Vicki

DS (lap) with Dr. Clifford Deveney. Cholecystectomy (lap) with Dr. Clifford Deveney 19 months post-op.

Has not weighed myself since 1/2010.  Letting my clothes gauge my progress instead.

HeidiOR
on 8/7/09 6:16 am - Independence, OR
****UPDATE****
Called Kaiser (Salem) to find out about the lap band. Was first told "No WLS is not covered." then "Oh you have PEBB.... looks like WLS is covered... wow that's a good plan." Then when I asked out the lap band specifically was told "It doesn't look like it's covered, you should schedule an appoinment with one of the bariatric doctors and they would be able to let you know about the band."
What?!?!
I'm supposed to go see the doctor to find out if the band is covered? That just doesn't sound right.

I put a call into a WLS center, hoping someone there can clarify about Kaiser.


Linda_S
on 8/13/09 3:51 am - Eugene, OR
Is there a specific reason you wouldn't have weight loss surgery if the band weren't covered?  The RNY and DS are both great surgeries.  Pick up a copy of Weight Loss Surgery for Dummies or Weight Loss Surgery:  A Lighter Look at a Heavy Subject and read about all the pros and cons of each.  Life's too short to put off WLS.

Linda

Success supposes endeavor. - Jane Austen

MelanieInPortland
on 8/29/09 1:23 pm - portland, OR
We have PEBB and switched over from kaiser to blue cross so the lapband would be covered.



305- high, 298- wls consultation 2/07, 279-surgery date, 257 current
http://bandsurgery.blogspot.com/ : my blog with pictures

HeidiOR
on 8/30/09 8:57 pm - Independence, OR
Thanks for your reply. If you don't mind me asking, what did your out of pocket end up being? 
-Heidi
prisongirl
on 9/8/09 4:56 pm
I also have PEBB but it's BCBS. I believe that PEBB only covers RNY gastric bypass and nothing else. I also heard that if you are considering surgery that you better hurry because we will be changing to another insurance that will not cover it. That's just the rumor mill though. Good luck!
Becci    
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