BCBS Denied

BCBS Policy is OBESITY MANAGEMENT EXCLUDE(S): Obesity. Care and treatment of obesity, weight loss or dietary control whether or not it is, in any case, a part of the treatment plan for another Sickness. However, treatment for Morbid Obesity will be covered under this Plan when necessitated as the result of a specifically identifiable condition of disease etiology. They are telling me that they only cover this surgery if morbid obesity was CAUSED by a medical condition. Has anyone ever seen a policy like this? I'm wondering if I should handle the first appeal myself or go straight to Walter Lindstrom. It seems BCBS policy on this is unreasonable. Susan

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