i found out today............more please read

My insurance said they DO cover the surgery. I have BMI of 40, several co-morbs and very strong hx of diabetes, HTN, and heart disease (dad died at 45 yrs old). The only problem is how they dr submits the claim. My problem is that I can't see any way they can submit it, except morbid obesity as the diagnosis. Then the insurance might not pay, that is our exclusion. Strange they cover the surgery but don't cover morbid obesity. Why else would anyone have WLS???? If anyone has ANY sample letters they sent to insurance or a cost analysis please forward to me at [email protected]. I have a feeling this might be an uphill battle, but since my insurance is self-funded through my employer I am ready and willing to fight tooth and nail......or find another job. After all we nurses are supposedly in high demand........lol. Thanks to anyone that can help me and good luck to you all

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