@#$*!!&#*@

Back in June I found out that my HMO was going to start covering medically necessary WLS starting in September. I was thrilled! It was a customer service rep that had contacted me with this exciting news. After my conversation with her I started the ball rolling.... I found out which surgeon my HMO would cover and attended his 3 hour seminar. I spent hours on the internet researching WLS. I joined an on-line support group, and several message boards. I knew that having WLS was a difficult decision to make, and I wanted to be well informed. I contacted my HMO again with more questions. This time I got a different customer service rep. I continued with my research and soul-searching and decided that I definitly wanted WLS. More specifically an open RNY. I am a type 2 diabetic who suffers with several co-morbidities. I contacted my husband's employer to ask a few more questions, and that's when I discovered that Clark County employees are NOT covered for WLS !!! They do not have this coverage on their insurance plan! I was horrified to hear this! Why didn't the 2 customer service reps at my HMO tell me??? It's their job to know this! They never asked me who my employer was. I'm in the process of a "grievance" with my HMO because of this. I feel that since it was THEIR people who told me I would have coverage that they should pay for it! I'm waiting to hear back from them with the date for their next meeting. At that time I will have to get up in front of them and tell my side of the story. I am a nervous wreck just thinking about that! I don't know if I have any legal recourse. I can't afford to hire an attorney. I feel that they misrepresented themselves. If anyone can give me any advice please feel free to e-mail me at: [email protected]. Thanks!