Guest guest Posted October 3, 2000 Report Share Posted October 3, 2000 The good news: Dr. R has approved me for surgery. I'm trying to get a date during Turkey week. The bad news: To my total lack of surprise, BC/BS of Alabama has denied me, as they did when I tried for R-en-Y surgery, claiming that the procedure is not medically necessary unless I'm twice my ideal weight for two years. Totally contrary to NIH guidelines, but I don't have it in me to fight them again as I did (unsuccessfully) over the R-en-y surgery. I think I'd win if I litigated, but since my employer (Univ. of Ala.) self-insures and uses BC/BS only as a claims administrator, and I'm not yet tenured, I think it would be unwise. So, self-pay. But the good news trumps the bad! Regards to all. Jon in Tuscaloosa Quote Link to comment Share on other sites More sharing options...
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