Medical Mutual covering VSG?

Does anyone know if Medical Mutual is covering Vertical Sleeve Gastrectomy? Hubby's surgeon told him they are having a hard time getting insurance to cover it. Thanks to anyone who knows the answer!


Heather

Your best bet is to just call MMO and ask. You must also remember that each policy is different depending on what the employer wants. Some might some might not. You need to call and find out what yours covers.  I had MMO 5 1/2 years ago and they covered RNY and BPD/DS.
Good Luck,
Robin

I have Med Mutual and since VSG is considered investigational, it is included in the exclusions.
At least it is on my policy, so they would not cover it for me.

My wife has MMO and her policy has an exclusion for any WLS. When I lost my job earlier this year, it became a race to get the surgery in while I was still covered by my employer. I made it with 6 weeks to spare. As another poster mentioned, every policy is different, even when they are through the same carrier.

Hello, I have Medical Mutal and was approved in 2 weeks but made sure I had everything that they required and also had 4 months weights with bariatric surgeon and his dietician.