Help!! Medcost question. . .
Hello everyone. I have Medcost Preferred and when I contacted my carrier to ask about WLS, I was told that the only requirement was a BMI over 40 and that it be medically necessary. I looked up my policy on line and all it said was that Gastric Bypass is covered as a regular benefit. I also called the customer service number on my insurance card and the lady in the benefits department there told me the same thing. That's all the info I could find regarding my policy. I have talked to a couple of people who have had the RNY who had Medcost and both of them said that they had to have a 6 month documented diet record (ex: Weigh****chers, Jenny Craig, etc) before they could get approval. One of the people I talked to didn't know this until all her info had been submitted to insurance and they denied her. I'm not sure about the other lady. Now, I know that all policies are different but I was wondering if anyone could tell me if they had to do this too even though nothing was mentioned about it in their policy? Thanks! Donna F. :-)
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