Blasted Corporate Insurance! - Venting

Bvrwrer
on 2/20/08 1:23 am - Edmond, OK
Just received info back from my HR people with a copy of the SPD for my insurance.  They actually have the most offensive verbiage I have seen in a long time listed under the Exclusions : 

Any services or supplies provided for reduction of obesity or weight, including surgical procedures, even if the Participant has other health conditions which might be helped by a reduction of obesity or weight. What a giant crock of ****!  I have been working for these people for 12 years, but we were sold last year.  Under the previous ownership, the surgery would have been covered, but now our new global conglomerate owners have come up with this crap... I guess now I'll start saving my pennies and try to stay on my pre-op diet and not sabotage the process while I calm down.  I think I could get together enough to self-pay for the VSG pretty soon, I just haven't done enough research to be sure if I think that will work for me long term.. Grrrr... *******s... Thanks for letting me vent here - it does help some. John

(deactivated member)
on 2/20/08 1:50 am
Brian I.
on 2/20/08 10:01 am
Wow, you're right that is the worst verbiage I've ever seen regarding this type of exclusion. Mine has similar verbiage but in the back of the book has a small line about "unless it is medically necessary".

Are there any lawyers on here that could see a way around this. Just because they put that stuff in there doesn't always mean that it's legal. I mean if it is medically necessary they shouldn't be able to exclude the surgery just because they wrote it in the manual. I would fight it...
(deactivated member)
on 2/20/08 11:22 am - uranus, CA
RNY on 09/19/06 with
Well that sounds like they don't value your loyalty enough to insure that you are healthy enough to remain in their employ long-term..... that is something that you should conside when another oppourtunity presents itself.
Most Active
Sunday Weigh In
Don 1962 · 1 replies · 30 views
Recent Topics
Sunday Weigh In
Don 1962 · 1 replies · 30 views
Sunday Weigh In (Test. Test.)
Don 1962 · 2 replies · 56 views
DST Sunday Weigh In
Don 1962 · 1 replies · 78 views
Sunday Weigh In
Don 1962 · 3 replies · 103 views
Sunday Weigh In
82much · 1 replies · 148 views
×