Insurance Help

kidplay
on 11/19/06 9:22 am - Roanoke, VA
I was denied for surgery about a year ago, but have not given up on the idea, was wondering if there was any hope,I have Southern Health Insuransc HMO and I work for a small company, they did not purchase the Gastric Bypass rider. Is there any other way around this that insurance will pay for surgery.
lesliej
on 11/19/06 10:33 am, edited 11/19/06 10:38 am - Fulton, MO

What exactly does your insurance say about having weight loss surgery?  I would find out exactly what your policy says and go from there.  If your company has an exclusion and didn't opt to get a rider then there's nothing you can do.  Insurance will not pay.  Insurance is tricky and a lot of people don't ask.  I know I didn't when it came to wls and now I'm playing the waiting game to see if our new insurance will also have a wls exclusion in the new policy.  You might do what I'm doing and look for another job with insurance that will pay for wls.  I hate going this route b/c I really enjoy my current job but I've gotta do what I've gotta do. 

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