Question:
I would like to know if WLS is medicsally necessary why do you still deny it?

   — Charlotte Maier (posted on December 15, 2004)

December 15, 2004
Why does "WHO" deny it?????
   — Danmark

December 16, 2004
If by "you" you mean insurance companies...there are lots of reasons. If the policy carries an exclusion, they will deny it because its NOT a covered benefit. Employers when selecting policies often exclude WLS from the package because of the cost. When it is a covered benefit, you have to make sure you have the supporting documentation submitted to cover the procedure. Of course this doesn't mean that they will say ok right away.
   — M. Me

December 17, 2004
Well, there are people who are not ready for WLS even if it is medically necessary. If there is a determination that the patient will "eat through" the surgery and thereby destroying the results of the surgery, this is not a good canidate for the surgery. There are some out there who think that the surgery is a miracle pill and that they can continue as they were before the surgery not realizing that it is a tool only and the real work comes in changing mindsets and eating habits.
   — coffenut

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