insurance
Hi Everyone,
I have been a nervous wreck about insurance! Our insurance is Medical Mutual HMO HealthOhio. My husband works for Ford Motor. I found out this morning that there is NO exclusion for WLS! NO cap! And it won't change until the contract expires in September of 2006! I thought there might be someone else out there that might find this helpful!
I am going to my PCP tomorrow and explain what he needs to send in for the 6 month supervised weight loss. Wish me luck!
Sue
My husband works for Ford Motor too and we have Anthem BC/BS. I had no problem getting approved even with a very undocumented case. I was on Adipex and did Atkins over the years and that was it. They took my word for it basically and approved me in two weeks! I was told by the insurance co that they didn't do the case review for approval/denial but Ford NESC has a group that did it - don't know if that's the case or not, but I do know tons of folks in my husband's plant that have had the surgery.
GOOD LUCK AND KEEP US POSTED!
Kita,
This is good to hear! Thanks! We have Medical Mutual and when I called the union hall I was told that as long as it is documented medical necessary than there won't be a problem. I am hoping that it goes to the insurance today. My PCP sent in my 6 month supervised diet but University Hospital's fax machine was down so I was given a new number to have them send it to. I was so excited yesterday when I learned that my PCP did document everything! Sometimes I worry needlessly but I can't help it! I did find out that I have NO red flags on my psych evaluation!
Sue