Question:
Denied due to an Exclusion in my Ins. Policy

BC/BS Onpoint policy states "Services for Weight Reduction programs and Gastric Stapling for treatment of Obesity" I am MO & my Drs. letter stated surgery was med. necessary, I have read thru some other Ins. questions on the message boards some people stated morbid obesity is not specified in the policy, also gastric stapling may be considered diff. than gastric bypass, Has anyone been able to have a similar exclusion overturned??? Thnx    — Tom C. (posted on February 15, 2003)

February 15, 2003
Hi, I dont know if this will help, but maybe you could check into it. Welmark is another brance of blue croos. really the same thing.... i hade to be twice the normal wt. for a med. framed person. 248-257... I had to find this out by getting a hold of the claim person the denined you. Not anyone else, you will hear to many different thing. Get it stright from the horses mouth... ..I know this isnt really an answer to your question, but it might melp w/ you case.
   — shannon M.

February 24, 2003
Email me, my law firm handles this stuff, I may be able to help. Gary [email protected]
   — gary viscio