Wording of exclusion
Hi all, Im hoping someone might know more about insurance than I do and whether I can possibly get approval with this exclusion. Please, anyone who knows anything. Under obesity treatment my policy says. Charges for medically necessary, nonsurgical treatment of obesity are covered when a diagnosis of morbid obesity is given and a comorbidity is present that is aggravated by morbid obesity. Charges from diet centers and diet counseling, including, but not limited to, the cost of food and food suppliments, are not considered eligible expenses. No benefits are payable for any surgical procedure performed for the treatment of obesity or for the purpose of weight reduction. However the plan will cover treatment of complications arising during or subsequent to such a surgical procedure. Then under sxclusions it says Surgical treatment of obesity/weight reduction. If you read all the way through that then thank you so much. What do you think about approval? They dont say no surgical treatment for morbid obesity. But maybe Im just wishing.
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