Approaching Self-Funded employer about needing surgery?
I already know that my employer is self funded, with an exlusion for "bariatric surgery related to the treatment of obesity" and that I will have to appeal to my plan administrator for any chance of approval. (Third Party Admin is Preferred One)
I was thinking of going directly to my administrator and explaining the situation and ask if the exclusion applies to medically neccesary morbid obesity and/or co-morbs also.
Will doing this help or hurt any future formal appeals? I have only been with this employer for 3 mos.
Thank-you!!
~Steph