Tell me if this excludes Bariatric Surgery...

I am trying to choose an insurance policy that covers wls. It's the Louisiana State Employees policy. Ocshner excludes it but the EPO plan, in its' exclusions states, "Services and supplies related to obesity, surgery for excess fat in any area of the body, resection of excessskin or fat following weight loss or pregnancy;" Does this include bariatric surgery? This is the only exclusion clause related to obesity. Any help from anyone would be helpful. I have been trying to have this surgery for years.

It is my understanding that State Group DOES exclude WLS. But then I was under the impression that Ochsner doesn't exclude it. Good Luck!

In Oschner's exclusions it says bariatric Surgery is not covered. I thought since the PPO and EPO policies did not mention Bariatric Surgery in their exclusions, just the quote mentioned above, that I could find a loophole. From the looks of it I shouldn't sign up for any state health insurance. Thanks...I have to look for other avenues. City of New Orleans Insurance (husband's policy)does not cover it either.

I HAVE OCHSNER HMO AND HAVE APPROVAL AND SURGERY DATE SCHEDULED FOR 11/14/03. CAREFUL DIET HISTORY AND 2 MAJOR ILLNESS DIAGNOSIS HELPS FOR INSURANCE APPROVEL. OCHSNER DOES NOT DO THE PROCEDURE BUT REFRS TO AN OUTSIDE PROVIDER.

Are you a State Employee?

NO I'M NOT. IT IS THRU MY HUSBANDS INSURANCE AT A REFINERY.