Insurance coverage

clsmith
on 10/23/08 7:00 am - Centerview, MO
I am new to this, I have healthscope insurance and weightloss surgery is an exclusion, has anyone had any success in getting approval for surgery when it is an exclusion on your insurance?

Cathy Smith

BooBoo139
on 10/23/08 11:08 am - Collinsville, TX

I dont like to say this but doubtful.  I work with Insurance and an exclusion is just that.  It is not covered no matter how medically necessary.  It is sort of like car ins. if you dont buy full coverage you cant get it later when you need it.  Sounds stupid I know but that really is how it is.  On a positive note it is open enrollment time for most employers.  I would see if there is another coverage you can opt. for 2009.  Good luck I hope you get it.
Heather

jeffries138
on 10/24/08 7:18 am - Moab, UT

Hi Philip, my name is Kathleen J and I live in UT. My insurance is an HMO through Medicare and weight loss surgery is excluded. Imagine my joy when last week I was notified that they gave authorization to my surgeons office. I obtained mine on medical grounds, arthritis in both knees, acid reflux, depression, but to name a few. My family doctors office really co-operated with me and sent my insurance five years of medical records. Do you have any health issues? If so maybe this would be an option for you. I go for my pre-op on October 29th, 2008 and it's gastric bypass surgery for me on November 10th, 2008. Good luck and don't give up you can do it to!

clsmith
on 10/28/08 7:43 am - Centerview, MO
Thanks!! That gives me a little hope anyway yes I have like all of the above depression, knee pain, gerd the whole nine yards.  Thanks Cathy
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