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I don't know what a rider is. I will be buying individual insurance. I'm not working.
Thank you so much for your response, I guess I won't sit around and weight for the response lol. When I called them they said there were some adjustments made this year to the plan and I needed to send in the appeal. We'll see what happens but I won't bank on it.
it is not just about the insurance company. All insurance companies cover WLS...IF the employer buys the rider that covers it's when looking to change policies,you need to make sure whether. Your employer has bought the rider first of all,and then find out. What the requirements will be.
GL
sorry to say,if WLS is EXCL uDED in your plan,that means your employer,( the insurance company) did not buy the rider that covers it for their employees. If they didn't buy it for you,then that means the premium you pay for. Your insurance isn't covering. WLS.
No amount of appeals/letters is going to change the fact that the rider is not being paid for. If someone isn't paying for the rider,the insurance company is. Not going to cover it.
sorry and good luck
about your. Only option will be self pay
Hi,
I have worked for UHC for over 5 years now and am trying to find out more about appealing the WLS. In my plan it is not covered. They said I could appeal it. My doctor wrote a letter of appeal last week and I'm praying to get some good news. Has anyone here every appealed the WLS and actually gotten it covered? If so please tell me about it.
I'm considering switching insurance because my current insurance might not cover my insurance. What insurance do you have that doesn't require the six month weight management before surgery. I would especially like to hear from people under 40 BMI with no comorbidities.
your Pcp or surgeon needs to write you a letter for the IRS stating that the surgery was medically necessary and you had XYZ comorbidities that made it medically necessary.
Insurance has nothing to do with tax returns so that is not an issue.
Gl
on 1/24/14 5:16 am
How do you prove it was medically necessary? My doctor (2 of them) told me I would qualify for it being medically necessary but my BCBS plan covers NO obesity help. Does insurance denial or noncoverage impact tax deductions? It's so confusing.
Anyone has experience with HIP Prime HMO? How long does it usually take them to review the paperwork?
Anyone was denied? and if so why?
I know there is a section on the website where you can check out the feedback from others by insurance, however all the feedback is from 2002-2005.
Hockeymom87 · 0 replies · 858 views
