What insurance agency would allow to pay for such surgeries for a "Sleeve" I just got off the phone with blue sheild of Alaska and they won't. I have no insurance and the company i work for when they decide to give it to me, is that lousy "Cobra" who wont even allow a flu shot.. Do i mention that i want this type of medical procedure when shopping for insurance?

I had a revision to the bypass in May after the many complications I had from the lapband (which I had in 2006).  My insurance would not pay for the revision, so I ended up paying out of pocket over $20,000. I want to deduct this from my taxes.  My accountant says that I can do this as long as the surgery is not considered "cosmetic."  Has anyone been able to do this, and how do you "prove" that it is not "cosmetic"?

hey i was just wondering how long does it take for khpe to approve you for the surgery? and what are all the requirements that you have to past in order to be approved? just a little nervous and just waiting

I have read some articles that state exclusions can be overcome due to the covered things such as hypertension, sleep apnea, etc. However, I don't know how they did it. I hope some people on here can give some good advice.

Although my doctors have listed RNY surgery as Medically Necessary, My insurance is denying my claim due to a exclusion clause. Treatment for Obesity including surgery is not covered. I have several co-morbidities such as insulin resistance, hypertension, secondary hypothyroidism, sleep apnea to name a few which my insurance is suppose to cover. I'm on over 200 dollars worth of medication (and that is with my co-pay). The only explaination of not covering this treatment is "We will not pay for benefits not covered for exclusions even if recommended by your physician and is the only available treatment for your condition." They went on to say, "federal and state laws (I live in Florida) require UnitedHealthcare to strictly administer the terms of your health benefit plan. We may not deviate from the plan terms of your Benefit Plan." My HR department has stated that they will not change the policy to include this benefit, but they did ask me if I had appealed. Does anyone have any suggestions for me? I'm at a loss.