Anthem & UHC refuse to cover me post op....
Anthem notified us we had to change from an employer sponsored plan to an individual or family one because my husband's company no longer has employees. However, they are refusing to cover me now because I have "had bariatric surgery within five years". United Health Care/Golden Rule rejected me for the same reason. I have sailed through this process so far. Had surgery on 9/14/10 and have had no complications. I had a BMI of 41.3 and no co-morbidities when I started. I've lost 98# and my BMI is now 27, and I'm 32# shy of my goal. I take no medications and am healthier than ever.
I've gone to the Ohio Dept of Insurance website to check into their high risk pool and even though they have a pretty lengthy and exhaustive list of pre-existing conditions, WLS is not considered to be one of them. I'll call Monday to confirm.
In the meantime, I've written to a couple of the trade associations for bariatric surgeons to alert them to this possible trend.
Has anyone else experienced this? Any words of wisdom?