Guest guest Posted August 20, 2000 Report Share Posted August 20, 2000 When there is an actual exclusion in your policy, it is faster and cheaper to change insurance than to sue them over it (and you usually haven't got much chance of winning in an exclusion situation, either). When you change companies, just be sure you get a company that does not exclude coverage for " pre-existing conditions. " The " pre-existing condition " is obesity -- and you've had that a long time, so it is " pre-existing " no matter whether you have checked into treatment for it with Dr. R. or not. Kind regards, Jada Munn wrote: > > Hello , My name is Jada Munn and I have been a member for about 3 weeks now. I have asked a question on the site before and haven't gotten an answer yet. I was hoping you will be able to help me out. I have already gone for my clinic visit with Dr. R and my packet is almost done (I have got to revise for the new manual). My insurance company has denied me twice. It clearly states in the exclusions that they will not pay for treatment of morbid obesity such as gastric stapling. Should I hire a lawyer to try to fight this or look for another insurance company? I was told that if I got on with another insurance company I would have to tell them of my plans for the MGB or they will find my clinic visit appointment and deny me when I propose the surgery. Then I could be looking at insurance fraud for not telling them of my plans. They would consider that as a pre-existing condition. Is that true? I do not want to wait the pre-existing time frame if I get on with a new company. I am in college now and I plan to graduate in May. I want to have the surgery in Dec over my Christmas break. I have even considered becoming a self pay but my parents are afraid of complications that might occur and my bill being a lot more than expected! Do I have a chance fighting my insurance company or should I just move on? > > > > Thanks, > Jada > BMI 52 > Goldsboro, NC Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 21, 2000 Report Share Posted August 21, 2000 Thanks , That is what I thought, but I wanted to make sure. Oh, LOVED the web page! ~Jada Re: -I need help! > When there is an actual exclusion in your policy, it is faster and > cheaper to change insurance than to sue them over it (and you usually > haven't got much chance of winning in an exclusion situation, either). > > When you change companies, just be sure you get a company that does not > exclude coverage for " pre-existing conditions. " > > The " pre-existing condition " is obesity -- and you've had that a long > time, so it is " pre-existing " no matter whether you have checked into > treatment for it with Dr. R. or not. > > Kind regards, > > > > > > > Jada Munn wrote: > > > > Hello , > > > My name is Jada Munn and I have been a member for about 3 weeks > now. I have asked a question on the site before and haven't gotten an > answer yet. I was hoping you will be able to help me out. I have > already gone for my clinic visit with Dr. R and my packet is almost done > (I have got to revise for the new manual). My insurance company has > denied me twice. It clearly states in the exclusions that they will not > pay for treatment of morbid obesity such as gastric stapling. Should I > hire a lawyer to try to fight this or look for another insurance > company? I was told that if I got on with another insurance company I > would have to tell them of my plans for the MGB or they will find my > clinic visit appointment and deny me when I propose the surgery. Then I > could be looking at insurance fraud for not telling them of my plans. > They would consider that as a pre-existing condition. Is that true? I > do not want to wait the pre-existing time frame if I get on with a new > company. I am in college now and I plan to graduate in May. I want to > have the surgery in Dec over my Christmas break. I have even considered > becoming a self pay but my parents are afraid of complications that > might occur and my bill being a lot more than expected! Do I have a > chance fighting my insurance company or should I just move on? > > > > > > > > Thanks, > > Jada > > BMI 52 > > Goldsboro, NC > > > > This message is from the Mini-Gastric Bypass Mailing List at Onelist.com > Please visit our web site at http://clos.net > Get the Patient Manual at http://clos.net/get_patient_manual.htm > > To Unsubscribe Send and Email to: MiniGastricBypass-unsubscribe (AT) egroups (DOT) com > > > Quote Link to comment Share on other sites More sharing options...
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