My Insurance Exclusions

Hi everyone Well, I told you all I would post my exclusions once I got the written exclusion from my insurance company, (Anthem bc/bs )and I got a benefit book from them today in the mail and it seems pretty solid..I think I am pretty much doomed. But i thought i would see if someone who knows more than me thinks i have any chance of ever getting this wls. Well here it is:------------ 1) bariatric surgery, regardless of the purpose it is proposed or performed. This includes but is not limited to Roux-en-Y (RNY), Laproscopic gastric bypass surgery or other gastric bypass surgery (surgical procedures that reduce stomach capacity and divert partially digested food from the duodenum to the jejunum,the section of the small intestine extending from the duodenum) or Gastroplasty, (surgical procedures that decrease the size of the stomach). 2) Related to weight loss or weight loss programs whether or not they are under medical or physician supervision, Weight loss programs include but are not limited to commerical weight loss programs such as weigh****chers, Jenny Craig or LA weight loss or fasting programs. Wow...That pretty much says "no-way, nadda, getta outta here" huh??? can anyone make me smile again???? KIM

I know that i too have a total exclusion. I have BC/BS but its my job that has the total exclusion on it (attorney said it was funded by the job or similar) which had me give up the quest to get the surgery. I'm sure you have seen though that there are attorneys that can help you fight and over turn the exclusion. I plan on using one of them..(Gary for instance) but as mentioned in my earlier post, my husband recently joined the Home Depot team and i am going to try to get the surgery through them. But if i get denied that way as well, then my last option is the lawyers. My health is getting worse and don't have the strength to even get up any more. Good luck though. TRust me, i feel your pain. And just so you know, i even tried getting insurance outside of work. I mean, for me to pay it all but i was automatically denied because of my weight. When you are obese, these insurance do not want to give yoiu anything because you are already a risk. Hate them!!