Lapband Wannabee

  • Hey Chicks,

    I have been seriously considering the Lap Band. Ive done my research, and watched documentaries, etc. I live in Hawaii and have Medicaid insurance. Ive read that Medicaid will only cover it if its done in a Bariatric Center of Excellence, and, unfortunately, we have none here. So, I am in the dark. I talked to my PCP today and he gave me no other information other than, "its not covered" Im in dismay, as you could imagine. So, I suppose my question would be if I wanted it to be covered, would I have to fly to the US to get it done. If so, what about after care? I read that it usually is covered for a year, and then after that....you pay out of your pocket. However, would I have to go to the same center everytime to get my fills, checks, etc, for it to be covered?

    I hope someone can help me. Ive been dreaming about it......I know this will change my life....if only I could afford it....

    Any help is appreciated. Thanks in advance.
  • here's what i found on the Hawaii Medicaid site
    What doesn't Medicaid cover?
    Hawaii's Fee-For-Service Medicaid will not pay for the following services or items that include but are not limited to:
    • Naturopathic, Chiropractic and Christian-Science services
    • Private duty nursing
    • Cosmetic surgery
    • Drugs not approved by the U.S. Food & Drug Administration
    • Medical procedures of an experimental nature
    • Personal comfort items such as radio, television or telephone
    • Orthodontic services and fixed bridgework
    • Certain vitamins and vitamin mixtures
    • Acupuncture

    it looks to me as if the lapband might not be covered IF your state's medicaid considers it to be experimental OR cosmetic [and some of the ads on TV are SAYING that it's cosmetic - grrrrrr!!!!!]

    would you consider the gastric bypass if Medicaid covered it?

    i'll keep looking for more info.
  • I thought about a GB, but its really not for me. Ive tried calling the company, but they are giving me the run around.

    I had no idea that some consider it cosmetic!! Thats pretty sad because in my opinion, its a life saver.

    Thanks for helping