Question:
BCBS-GA Exclusion--Would there be a way around this exclusion? Exclusion listed below

Any services or supplies for the treatment of obesity, including but not limited to, weight reduction, medical care or Prescription Drugs, or dietary control (except as related to covered nutritional counseling). Nutritional supplements; services, supplies and/or nutritional sustenance products (food) related to enteral feeding except when it is the sole means of nutrition. Food supplements. Services for Inpatient treatment of bulimia, anorexia or other eating disorders which consist primarily of behavior modification, diet and weight monitoring and education. Any services or supplies that involve weight reduction as the main method of treatment, including medical, psychiatric care or counseling. Weight loss programs, nutritional supplements, appetite suppressants, and supplies of a similar nature. Excluded procedures include but are not limited to bariatric services, bariatric surgery (e. g., gastric bypass or vertically banded gastroplasty, liposuction, gastric balloons, jejunal bypasses, and wiring of the jaw).    — Kelly C. (posted on October 8, 2005)

October 8, 2005
The only thing I would suggest is that the exclusion says "for the treatment of obesity". It does not say anything about the treatment of *morbid* obesity. This slight difference in wording has worked for others in the past. Try it. ~Pookie
   — Michelle E.

October 9, 2005
Wow, that is really uncaring of the disease of obesity! If you have any comorbidities, such as sleep apnea, high blood pressure, or diabetes, they might allow it to treat those conditions.
   — Novashannon

October 14, 2005
Hi! What type of policy do you have, and from which state? Are you a Federal employee? All of this makes a difference (to start). It is NOT true of all BCBS-GA policies.
   — yourdivaness

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