Question:
I have Corporate Systems Administration insurance does anyone have this insurance??
My husband has Corporate Systems insurance through his employer, and I am wanting to find out if they will cover Gastric Bypass Surgery?? I am really wanting to have the surgery, but I called them and the girl automatically said NO! then she said unless it is medically necessary!! — MISSYNEE69 (posted on April 4, 2007)
April 4, 2007
Your best bet is to schedule a consultation with a surgeon that will
contact your insurance company and make your case. He will tell them that
it's medically necessary.
— Sheri A.
April 4, 2007
I agree with the above poster. Schedule a consult with a surgeon and have
them help you make sence of it. If you can prove that it is medically
necessary then they should cover it. I am sure there are a few hoops to go
through but the surgeons office will help you figure out what exactally
they are. Most insurance cos require a BMI of atleast 35-40 w/ one co
morbidity or 40 w/ no cormobidity, medically supervied weight loss.. but
the surgeons office will help you get that info......... good Luck
Michele
— michelemcd
April 5, 2007
Talk to your primary doctor! Should have info as to what you need to know
and if insurance issues! Your Dr will tell you the requirements to do
surgery. I learned that there is a lot of info on the net. Look up your
insurance. I've never heard of your insurance. A lot of prep to do before,
during, and after.Surgery is the tool, the hard work! and Joy come after.
Good Luck! With your goal to have surgery!
— mtackett
April 6, 2007
go to the library and check out this book... it has all of the explanations
about the insurance companies coverages and their language that they use.
"Doctor's Guide to Weight Loss Surgery" by Louis Flancbaum, MD -
chapter 16 "paying for the surgery" very enlightening. The book
to buy is relatively inexpensive and can be purchased on line as well for
$13.95 (ISBN # 0-553-38246-2) good luck to you....
— Kari_K
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