State of California CalPERS PPO Exclusion
Hello: Well I was very excited because I may be covered by a new PPO insurance, but I think there is an exclusion. I thought when I scanned the archived posts that I saw that the State of California CalPERS PPO which is done by Blue Cross did pay for gastric bypass. However, when I looked at the online EOC for 2003 for CalPers PPO "Pers Care" it does indeed say "Weight Control. Any program, treatment, service, supply, or surgery for dietary control, weight control, or complications arising from weight control, whether or not prescribed or recommended by a physician, including, but not limited to: a. excersize programs (formal or informal) and equipment; b. surgeries, such as gastric bubble, gastric stapling, or liposuction". I also looked at the PERS Choice plan and it has the same exclusion - looks pretty bullet-proof. Does anyone with a State of California health plan have any comments? I thought I saw posts of people with State of CA BC/BS being approved for surgery. Did they recently add this exclusion?
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