My company has any weight loss treatments or surgery as being excluded from our insurance plan. If it's an 'exclusion', is it even worth filing an appeal? It sounds like it's my companies decision to not cover the surgery to keep insurance expenses down for everyone. Has anyone had success in appealing an exclusion? If you were successful at appealing an exclusion, would you mind sending me a sample of the appeal letter?
I've decided that I will self-pay if I can't get insurance to cover it.
You can appeal to the insurance company, it will likely get denied. The 2nd appeal is usually directly to your employer since it sounds like they are self-insured.
Good Luck. It's worth a try.
The self-insured companies kill me!!! They add and substract benefits when it's convenient for them. Usually some big wig in the company needs or wants something and it's magically covered, then gone!
You're worth it! And so is this surgery. It will be the best investment in yourself you'll ever make! And you won't have to deal with the insurance B.S. and play their waiting game!!!!
Hi, I called my insurance today and they said wls is listed as an exclusion, so what should my next step be? I am just starting this process, calling the insurance was the only thing I've done so far just not sure where to go next.
That' the same insurance my job has and the same exclusion. Can u tell me what clinic/doctor you used? I live in Fort Worth, TX also.