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has anyone had WLS excluded from their primary but covered by a secondary? this is my current situation. my surgery coordinator mentioned this may be an issue as the primary may not let the secondary cover the surgery but i don't understand how it can be an issue if it's completely excluded. if it's not covered at all why wouldn't the secondary be able to pay?
if your primary won't cover at all,the secondary might refuse to pay because the primary is not paying any.
Best advice...call the number on. Your secondary card and ask them. That is the only way you will know for sure.
has anyone had WLS excluded from their primary but covered by a secondary? this is my current situation. my surgery coordinator mentioned this may be an issue as the primary may not let the secondary cover the surgery but i don't understand how it can be an issue if it's completely excluded. if it's not covered at all why wouldn't the secondary be able to pay?
I was denied because after my lap band surgery I lost am amount below thier standards. What I dont understand is why thet care. They didnt pay for my first surgery.
~ CJ Bradley - Lapband Surgery 7/2007 with many complications. 2012 Seeking Revision to RNY. 2013 Revision denied. Trying to work with band.
I Cant get approval for a revision thru tricare. I am at a dead end. I've gained all my weight back plus some.
ObesityHelp is for the support and education for anyone affected by obesity. If you, or anyone you know, is affected by obesity, check out the Non-Surgical Weight Loss board. Whether you're following an organized weight loss group, diet plan or losing weight on your own without weight loss surgery, we can support you too.
Cathy
Want to get back on track or stay on track? Get Back On Track Together!
Welcome....I have NOT bought a plan...I have BCBS thru my employer but they wouldn't pay...I had heard yrs ago a lady had some complications with her surgery so my employer won't cover it...sucks...so I was a self pay..a lot of money but it will be worth it!!
good luck to you :)
RNY 1/19/15 SW 238 CW 169 GW ??
yay! so excited for you...you have been thru a lot...BTW I know the doctor (olchowski) My brother inlaw Mother had him...Im from NC we now have 2 great surgeons here that I know about..1 being my own dr....
Best of luck to you! keep us updated :)
RNY 1/19/15 SW 238 CW 169 GW ??
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Cathy
Want to get back on track or stay on track? Get Back On Track Together!
Pretty sure Anthem is the trade name for California BCBS. Their policy statement is here, but it's not too clear on whether or not you need a physician supervised diet.
http://www.anthem.com/medicalpolicies/policies/mp_pw_a053317.htm
5'9 HW 275 (BMI 40.6) SW (5/19/15) 253 CW 235 (BMI 34.8)
Week 1 (-9) Week 2 (-6) Week 3 (-3) Week 4 (-2)
GW 140
Hockeymom87 · 0 replies · 630 views
