Can someone tell me what they think about this email I got from ins?

Hi I sent an email to my ins company and this is what I said and they responded. What do you think? I am inquiring about my policy benefits for surgical treatment for morbid obesity. Is Surgery for obesity a covered benefit? Do you cover the cpt code for gastric bypass 43846 and ICD-9 code 278.01? Do you have a policy on surgery for morbid obesity I can obtain? What information do you require to authorize surgery? Where can my PCP/Surgeon Fax authorization request and to who's attention should the fax be directed to? What records does my PCP need to fax to you to obtain authorization to see the surgeon? Who should request the surgerical procedure? Please email me the answers to my question ASAP. Thank you my wls progess member # Dear Ms. : We are in receipt of your recent e-mail requesting benefit information. Coverage for Gastric Bypass Surgery is available in accordance to the Maryland Mandate Legislation Laws established in October 2001. However, services leading up to the surgery (services with a diagnosis of morbid obesity) are not covered by the Health Plan. All requests for Gastric Bypass surgery are reviewed by our Clinical Care Coordination Department (CCCD) for possible authorization approval. Your referring physician is required to submit a Gastric Bypass Request Form (to include supporting medical documentation) to our CCCD. The referring physician may obtain the form from our Professional Services Department by contacting their line directly at XXX XXXX The referring physician may fax the request and information to XXX XXXX Once the form is received by the Health Plan, prior authorization must be established before the surgery would be considered for approval. Any services related to morbid obesity (except services approved by CCCD) are not covered by the Health Plan. Please refer to your Evidence of Coverage (EOC) booklet for the guidelines/exclusions related to treatment of morbid obesity. As a reference, coverage for specific Current Procedural Terminology (CPT) codes related to Gastric Bypass Surgery will be determined within the authorization established by CCCD if approved by the Health Plan. The Health Plan follows the guidelines and regulations established by the National Institute of Health (NIH) for obesity treatment.If you have any additional questions and/or concerns, please feel free to email me directly at XXXXX or contact me at XXX XXXX at extension . sincerely, JG Senior Representative, Customer Support "Exceptional Care From The Heart" AMOS MOD NOTE: We removed the phone numbers from this post

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