Question:
I'm very interested having this surgery done. Will my insurance company pay for it?
I'm very interested having this surgery done. Will my insurance company pay for it? 5'1, 210lbs, health problems — [Anonymous] (posted on February 17, 2001)
February 17, 2001
How are we suppose to know? Some policies expressly exclude it, some OK it
based on co-morbidities, some OK it on Body Mass Index alone. Some cover
100% of the costs, some only 90% or 80%. Some not at all. Check with
Employee Relations where you work.
— blank first name B.
February 17, 2001
What insurance do you have?
— Rose A.
February 17, 2001
First of all, I would like to say that even though some of the questions
posted here need to provide a little more information sometimes, they are
all valid questions and certainly important to the people that are asking
them! Please don't be rude and condescending (B. Wesol) when
responding-you'd be better off just not saying anything. Now, with that
being said, insurance companies vary from state to state and even from
company to company. Some policies explicitly exclude obesity type coverage
or require additional information and/or tests. Please read your policy
carefully (your employer should be able to provide this information if you
do not already have it) and if there doesn't appear to be a specific
exclusion move forward. Visit a surgeon and have them pursue it for you.
If I can provide any assistance please do not hesitate to contact me.
— Sharon R.
February 18, 2001
It really doesn't matter which insurance company you have. It depends which
plan your employer has and how they decide to implement it. My insurance is
through a hospital connected (physically) to the one where I had WLS. Both
hospitals have the -same- insurance company. My insurance covers WLS just
on BMI alone. Ironically, the employess of the hospital where I had the
surgery done are specifically -not- covered for WLS. Same insurance
company, different employers. Different groups of employees;
administrators, skilled staff, maintenance, and less than .8 fulltime may
be covered at different levels. How are we suppose to know what someone's
coverage is, even if we know the insurance company? Check with personnel,
or get out the big benefit book evryone got just after the first of the
year and look it up.
— blank first name B.
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