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Anyone had wls at Kaiser?

Hi everyone,

First of all, I want to thank all of you that have taken the time
to post your experiences. You can never imagine how much you have
helped me in making my decision on having this surgery. I would
like to know if any of you have had surgery using Kaiser. I want
some information about the process.

Thanks,

~Gina.

This entry was posted on Friday, March 24th, 2006 at 4:19 am and is filed under Uncategorized. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.

4 Responses to “Anyone had wls at Kaiser?”

  1. Carlo Mickie Says:
    March 24th, 2006 at 3:49 pm

    Hi Gina,

    From my understanding Kaiser does not cover WLS. I would check in your plan
    book to see for sure or you can call the number on the back of your card and
    ask them if medically necessary will you cover procedure code - 43846 (gastric
    bypass) and the diagnosis code is 278.01 (morbid obesity). These are universal
    codes and they should be able to tell you yes or no.

    Jason
    RNY 7/28/00
    -160

    >>> gina6972 07/30/03 01:06AM >>>
    Hi everyone,


    First of all, I want to thank all of you that have taken the time
    to post your experiences. You can never imagine how much you have
    helped me in making my decision on having this surgery. I would
    like to know if any of you have had surgery using Kaiser. I want
    some information about the process.

    Thanks,

    ~Gina.

  2. Jamey Lancaster Says:
    March 25th, 2006 at 3:27 am

    I would consider adding the diagnosis codes for your co-morbidities, too, like
    diabetes, hypertension, osteoarthritis, gerd, etc. They may not cover just
    morbid obesity.
    Pam

  3. Neva Marjory Says:
    March 25th, 2006 at 7:03 am

    Hi everyone!

    Thanks for the information but I do know that Kaiser covers this
    procedure. I have a appt next week for a Obesity Surgery Class. I
    just wanted to know what my next step would be. I am dealing with a
    PCP that has never guided anyone through this process.

    Thanks,

    ~Gina.

  4. Jamey Lancaster Says:
    March 25th, 2006 at 2:08 pm

    Oh… well, usually, the initial step is to start the approval process. Most
    surgeons and/or insurances will require a sleep study (for sleep apnea,
    bloodwork, maybe an endoscopy, maybe a psych eval, maybe coming to a couple of
    preop support group meetings. I would guess that Kaiser will require a
    referral from your PCP, maybe a letter of medical necessity, for approval.
    Once you’re turned over to the surgeon, you can find out what he requires.
    Some surgeons require an initial weight loss, some do not.

    Good luck!
    Pam in Niceville

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