Question:
Anyone know about CareFirst of MD's policy about WLS?

I have CareFirst of MD (formerly BCBS) and the fine print says that they don't cover any type of weight loss drugs...does anyone know about WLS? Anyone out there with this carrier had WLS?    — twistedvortex (posted on September 3, 1999)

September 3, 1999
Hi, I have Carefirst of Maryland Freestate HMO. The only Doctor that I found was Dr. Marcus, and he was great. They approved my surger in no time at all, even though it is an exclusion in my policy. I had to prove that it was a medically necessary surgery. I had to give them my diet history and medical records, and my psych eval and I had no problems at all. I had the surgery on 8/25/99.
   — Lakeisha P.

November 16, 1999
I have CareFirst BCBS of Maryland. I was approved after appealing. The exclusion said, "unless medically necessary". Get a copy of your company contract with CareFirst, not just your benefits book, but your CONTRACT. Your exclusion will be listed there. If it says "medically necessary", you will be approved after 1 appeal.
   — Maria B.