Question:
Does worker's Comp paying for WLS?

My husb has had 3 back surgeries in the last year and has gained about 120 lbs due to being bedridden so long. I personally had surgery in March and it has helped me tremendously. The doctor has recommended that the insurance pay for a "weight loss program" for my husband. Does anyone know of any individual on worker's comp or a company injury who has had WLS? Thank you so much for your help!    — Jennifer C (posted on August 3, 2002)

August 2, 2002
It's extremely hard to get Workers Comp to pay for anything but your husband could try to file a C-2 stating that his weight gain was caused by his back injury and see if the claim is approved. I would be fascinated to know if it is or not. I have a friend who gained a tremendous amount of weight after his injury and maybe he could do it too. Anyway, the worst they can do is say no so might as well give it a try. Good luck! :)
   — Carmen K.

August 3, 2002
I work for a large wc carrier in the state of md, and yes you can get WC to pay for this procedure. However, it is difficult. Very difficult. Most commonly the procedure will be paid for if it is causing a delay in the claim status by not allowing the claimant to return to what they call MMI (maximum medical improvement) alot of times the weight needs to come off PRIOR to getting back surgery and if that is the case it is easier to get the approval. WC laws vary in each state greatly, I would call the workers' compensation commissioners office in your state and inquire. Good luck, Stacy
   — Stacy B.