Please Help with Insurance!!! 2 Questions

jbpeterson17
on 4/11/05 11:07 am - Tucson, AZ
I am a school teacher with insurance through my district (HealthSmart-PPO). I have been denied because of exclusion. There is a line in the plan outline that states exclusions "for services or supplies rendered to any participant for treatment of obesity, morbid obesity, or for weight reduction." Question 1: Do I have any recourse to this? Question 2: Should I change insurance companies? I'm not really tied to the one with my school district, but what would I change to? Does anyone know of a company that would approve bypass surgery on an individual insurance plan? I so desperately want this surgery! Any advice would be helpful! Being a school teacher, I would like to have the surgery over the summer. Not much time left! Thanks so much for listening!
DONNA RELLA
on 4/13/05 12:28 am - Uvalde, TX
i thought about finding a different ins. co. myself, but due to my weight... nobody could help me. do you have the option THROUGH your employer to change?
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