Thanks Tammy, I asked her about it and her insurance covered the surgery but her doctor hadn't sent in all the information, so when he did she was approved. My case is different, it is specifically listed as an exclusion and states even if "medically neccessary" so I've got a battle to fight. However, I did a search and found this... I forwarded it onto the insurance representative, I'm waiting for a response....
Appealing Insurance Plan Exclusions for Weight Loss Surgery
In addition to treating obesity, bariatric surgery is now considered an effective treatment for many metabolic diseases and conditions including type 2 diabetes, hypertension (high blood pressure), high cholesterol, obstructive sleep apnea, and non-alcoholic fatty liver disease. Even if your insurance plan has an exclusion for "obesity surgery" or "treatment of obesity" it may cover treatments for the above-mentioned health conditions. If you have any of these obesity co-morbidities, the appeal would be based on the recommendation that bariatric surgery is the best method of treatment for these listed diseases, which are usually covered health conditions.
__________________ 32 yrs, Single, not ttc, 2 (kittys), 1 Rottie Irregular, PMDD, Hypoplastic & Fibrocystic Breasts, Hirsutism, Hair loss, IR, Obesity, AN, Skin Tags, Burning Scalp Syn, Fatigue, Anxiety & Depression DX: 2000 RX: Met 2000mg, Celexa 60mg, Spiro 50mg, Flax Oil, Daily Vitamin, Saw Palmetto To view links or images in signatures your post count must be 0 or greater. You currently have 0 posts. Pursuing WLS "Gastric Bypass RNY" 1/6/09 Attended Seminar.. Weight 285lb, BMI 57.6 1/28/09 Consult, Mexico
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