Question:
anyone had this problem???????????????????????????

Well since ive not recieved many reponses to the other post, Ill try to re-state my question. Now im sure someone out there has gone through this, and knows what im talking about. My Insurance company has a clause that states This is the Clause:that they will not cover any services related to management or treatment of any overweight or obesity conditions. However, it doesn't not say anything about morbid obesity. So Im wondering Has anyone ever had approval or fought a similiar clause and got approval. I have only found one other person on this site that has the same insurance as mine,and she also has this clause, but has not been approved as of yet. So we are in need of any help, or past experience anyone has had on this issue...ThankYou *Smiles*    — Ann A. (posted on February 3, 2000)


March 1, 2000
I was just denied on Feb. 25, 2000 from my insurance for the same problem of the rider clause. I am 37 years old BMI 66.5 high blood pressure, diabetic, severe sleep apnea on a cpap, stomach hernia and they still denied me, stating my insurance doesn't cover surgery. It is SOUTHERN HEALTH OF VA they have not approved WLS since January 1999. I am starting the appeal process but spoke with a person tonight that went through the same problem with southern health. They even went to a General Assembly meeting in Richmond Va. along with DR. Neil Hutcher and had a Board meeting with Southern Health and they still denied him. I am thinking about self pay but it's _____ shame we have to resort that. I would love any input. I have also contact obesitylaw.com for help.
   — Carol B.




Click Here to Return
×