Question:
I have great west ins in florida through my husbands job Aerospace. The hr lady told
us that great west would pay for the surgery BUT the company didnt get that kind of policy they have an exclusion here it is..MEDICAL BENIFIT LIMITATIONS...Treatment for the purpose of weight loss, including but not limited to Bariatric surgery. Gastroplasty, any residualn treatment from previous gastro surgery. However, consultation with a licensed dietician for the purpose of weight loss is a covered expence. What do I do now??? — witchywoman (posted on April 23, 2006)
April 23, 2006
Check out how to appeal the insurance- also use this time to gather your
supporting data- do you have co-morbidities already or can your doctor
identify for you what is likely to happen down the road and how the cost of
treating thos comorbities will mount up the insurance company- the Ins. com
works in $$$ so show them in black and white what not covering this
condition will cost them in the long run- if they still deny you lets
rethink how to proceed.
— dabby
April 23, 2006
You might have a chance.. there is nothing in the above that states
"medically necessary" or "morbid obesity" get with your
Dr. to fight for the above with theses words listed within your request
letter.. then have them (or you can do it) fight with the insurance company
stating nothing is mentioned above. good luck.
— rinkadinktx
April 23, 2006
Thank you so much for the replys I have a little hope again!
— witchywoman
April 24, 2006
Hi... I had that very same "exclusion" in our policy and I my
surgery was covered in full! Just take the steps necessary; I started with
my pcp, who was/is a wonderful support to me!! My process actually went
very quickly and I am now almost 6 months post-op. Good luck to you
honey... don't let the exclusions stop you... Godspeed, GypsyKare
— GypsyWoman
Click Here to Return