Insurance question in PA

Angelique J.
on 9/17/13 12:19 pm - Allentown, PA

Not sure if anyone has any experience in PA. I currently have Medical Assistance for Workers with Disabilities - specifically Amerihealth Mercy (now Amerihealth Caritas). I called them to ask if they cover DS (they covered my lap-band). They had me call back with the CPT? codes and I found as many as I could online and they booed them all. I was looking into UPMC For You - Health Choices HMO and I found this dochttp://www.upmchealthplan.com/pdf/PandP/MP.040.pdfwhich makes it seem like they cover it, but because I am not a member when I call they are like well we miiiiight cover it iiiiiif..... Like, just tell me yes we have ever or have not ever covered a lap band to ds revision. Also, other than Abington Hospital there are no other vetted DS surgeons in PA so it will most likely be out of network as they must provide out of network service if they do not have 2 providers in the service area. I have been researching Greenbaum and Roslin as they are within a few hours of me. The only thing UPMC would tell me is that your PCP just writes a letter telling them the name of the surgeon and they follow through with the rest of it. On that note I definitely meet medical criteria - BMI is 53, sleep apnea, HTN, Type II Diabetes, high cholesterol. 

HW - 366+/1stSW - 325/CW - 301/GW - 200,

Lap-banded 3-5-2008, planning for revision to RNY 

J.A.C.+M  poly w/ child

Member Services
on 9/18/13 12:39 am - Irvine, CA

May we suggest if you have not done so already to post this on the PA Forum  

Most Active
Recent Topics
DS to RNY revision?
interpoet · 1 replies · 333 views
calcium/protein
PTcoki · 8 replies · 799 views
Need help for my mom
Fire_Ice · 1 replies · 268 views
×