Guest guest Posted November 25, 2001 Report Share Posted November 25, 2001 Hi all, I posted this on the DS Authorization Site with no responce. I figured that most of you have gotten approval and had your surgery so mabe you could help. I just received my policy book for the new insurance company and under the Limitations and Exceptions it reads: " Exogenous or morbid obesity including any surgery, revision or repair as a result thereof. Additionally excluded are any expenses, services or treatments for any form of food supplement or augmentation (unless necessary to sustain life in a critically ill person); or for any exercise program; or for weight controll (other than under Plan's weight loss benefit) or removal of weight or fat, whether for obesity or for any other diagnosis and whether by diet, injection of any fluid, or use of any medication or surgery of any kind. " Has anyone gotten an approval with this statement? In my BCBS it was more detailed even as far as to say denied " Even if medically necessary " . I had VBg in '95 and want a revision. Does anyone think I have a chance with this insurance? It is medically necessary as I have many co-morbid conditions. The agent that sold me the policy said that it was covered if medically necessary, but there is also a statment in the book that coveres them on agents giving out the wrong info. I am besides myself with worry that I won't get the ins. to pay. Any input will be greatly appericated. Thanks, Roxanne Quote Link to comment Share on other sites More sharing options...
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