Self-funded -- even State mandate doesn't apply
I am at the very beginning stages of learning about and deciding whether WLS is for me. I decided to call my insurance to see what their reaction was. I was told that my insurance is self-funded and even though Maryland has the recent state mandate regarding coverage for WLS for necessity, unless my employer agrees to change what they will pay for, my insurance won't cover it. I work for a large, conservative law firm and I can tell you it would be a huge up-hill and probably fruitless battle to get this changed. I don't know if I am up for that kind of battle. I have had enough disappointment in my life to go through a lot of testing and spend hours on supporting documentation just to have it shot down. I don't need that. On the other hand, I just recently learned my blood pressure and cholesterol are not good and if I can't get them regulated, I may need to take medication for them. Has anyone found approval through your employer to be anything than a huge fight? Law firms are notorious for keeping their eye on the financial bottom line and I don't think they're going to buy into this. Suggestions??? Please feel free to e-mail me. I can't check the boards too often. Thanks!
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