Question:
Does MMofOH cover WLS & if so under what plan?

I am self employed and I am checking out different companies for health insurance. I plan to have this surgery in the near future. I was wondering if there is anything I should make sure the policy has to ensure that they will cover the surgery without coming right out and asking? Just because a policy has major medical doesn't mean it will cover the WLS does it? Since I was overwieght before I had the ins. could they call it a pre-existing condition? Anyone who knows please help it is greatly appreciated. Thanks    — ckinnerson (posted on October 11, 2000)

November 4, 2000
Christy, I have MMO. I have been overweight forever. They don't cover WLS unless you are twice your ideal weight. I am that and then some. All they want is a five year weight history. Once you get approved they will send you a letter saying that you need to get a referral from your pcp. If you don't you will have to pay $500. My surgery date is November 28, 2000. :)
   — Maxine C.

April 7, 2002
I'm going to start by telling you ,there is a five year weight history that needs to be from a PCP . The type of plan that I have is Medicul Mutual Of Ohio supermed plus. I'll also tell you that if you have had any type of insurance for the past 18 months ,without abreak in coveragefor more than 60 day's then it does'nt matter that ther was a pre-existing condition. If you have anymore que. e-mail me .
   — Michelle V.