Do I have a chance to fight this exclusion?

My written exclusion by selffunded employer in UHC epo policy states, "no benefits availible for surgical or nonsurgical treatment of obesity or morbid obesity." does this exclusion mean it will not cover procedure if medically proven necessary. can i make this assumption or is this a vague in wording and possibly worth appealing. i have been denied initially and have placed my first appeal with documentation that proves without a doubt medical necessary. from what i have read and respsonse it seems like most experiences have been poor in approval. has anyone had similar experience, good or bad let me know.

We greatly appreciate your interest in helping us build our Q&A database. To discourage vandals from posting garbage, however, we require people to register before posting.

You must be logged in to post an answer. Click here to log in.