Insurance company has a no WLS rider. WHAT NOW?

Qbandiva
on 7/29/05 4:02 am - Naples, FL
I need help since my company supposedly has a rider that doesn't cover WLS. I'm with cigna in SWFL. Has anyone experience this before? I am so frustrated I could scream? Why is there so much discrimination against the morbidlky obese?
Phyliss M.
on 7/29/05 4:26 am - Miramar, FL
You should verify that for yourself. My girlfriend had CIGNA and had the surgery.
Lexa321
on 7/29/05 4:57 am - weston, FL
i have cigna and had my surgery in january
& Then Some
on 7/29/05 8:06 am - in, FL
IT depends on the benefit plan your company put in for. If it has an exclusion for WLS, it's not the insurance co., it's your employer. Maybe you could s/w HR person to get it included in your benefit pkg for next year (?).. I'm sorry. Keep looking for answers/options
Qbandiva
on 7/30/05 2:58 am - Naples, FL
Hello friends - today I found out that my employeer is an exclusive provider organization and offers cigna ppo - in essence - my employeer has the last word about approving the procedure. Cigna is only an administrator for the plan. I am in the process of getting my medical neccesity letter from my pcp along with letters from my Endocronologist, and ENT. Wish me luck.....I know they say it's a journey - but nobody told me about these speed bumps in the road! Barbara Naples FL
Vickie J
on 7/30/05 12:07 pm - Tallahassee, FL
Barbara, It sounds like you've got the right idea. I got letters from all of my doctors stating why wls was necessary from their point of view. This included my PCP, chiropractor, both orthopedic doctors (1 for my back & another for my knees/ankles), and my pulmonologist. I would have gotten 1 from my gyno but since I've had a hysto. fertility is no longer an issue for me so that problem is no longer a co-morbidity issue. Good luck! Vickie J.
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