When your policy states....

Sunshine *.
on 3/21/04 3:49 pm - Marquette Heights, IL
treatment of obesity, is there a loop hole because it does not say morbid obesity?
Roberta A.
on 3/21/04 11:57 pm - Marietta, GA
Yes. Obesity and morbid obesity are two distinct conditions, with different diagnosis codes. Fight the good fight! Roberta
gary viscio
on 3/22/04 1:54 am - Oceanside, NY
RNY on 07/01/03 with
Yes, Roberta is correct as usual. Exclusions must be very well written. That is not. Gary Viscio www.obesitylawyers.com
Jan H.
on 3/31/04 3:24 am - Pendleton, OR
Mine says (in the exclusions section): "Treatment For Obesity Or Weight Control Surgery or treatment (including any later complications), even if you or your enrolled dependent has other medical conditions related to or caused by obesity. Specifically excluded are: gastric stapling or bypass procedures, weight loss programs, counseling, hypnosis, biofeedback, neurolinguistic programming, guided imagery, and other forms of relaxation training as well as subliminal suggestion used to modify eating behavior." Do I stand a ghost of a chance pursuing this? Jan Hood
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