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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

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