No resposne the first time...I'll try again :-) I was denied...

by my insurance, Trigon Healthkeepers(VA). This was not a denial for the surgery but for the initial referral consultation with the surgeon. My insurance is paid for 100% by my agency. No out of pocket expense for me to participate in the health plan and 3 years ago a coworker had a RNY under the plan. As an aside, my director was considering changing insurers this year but due to cost chose to remain with our current company. She told me that when she signed the renewal she trusted that it was the same policy as always and hadn't noticed that they removed the GASTRIC BYPASS RIDER the supposedly allowed the other coworker to have the surgery approved(this is probably how Healthkeepers got the rate down to a competitive figure). She called the benefits manager who said the rider couldn't be added until our next renewal in Jan. '02. When I talked to the insurance company they said I wasn't approved because my agency DID NOT PURCHASE THE RIDER *NOT necessarily* because of medically necessity. I'm wondering, since I know they will approve the surgery, if there is any way to bypass this rider thing and get Healthkeepers to pay?

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