Question:
IS THERE ANY WAY TO FIGHT AN EXCLUSION
I CALLED AND ASKEDIF MY POLICY COVERED WLS AND WAS TOLD YES. I WENT THROUGH ALL PRE-OPS (PAID FOR BY THEM) AND WAS TOLD 3 DAYS BEFORE THAT THERE WAS AN EXCLUSION IN MY POLICY FOR ANY TYPE OF SERVICES AND DRUGS IN ANY WAY RELATED TO WEIGHT LOSS UNLESS THROUGH APPROVED PREVENTION AND WELLNESS SERVICES. ANY SUGGESTIONS ON GETTING AN APPROVAL ELLEN ADONICC@AOL — Ellen M. (posted on September 15, 2000)
September 15, 2000
The exact language of your policy is needed before offering much help. I
have posted reams of information about this subject. First look at the way
the policy is written. If it is iron clad you must use comorbids to get
the surgery. Again we need to have EXACT words. Do not jump to conclusion
it is not covered just because of that goofy phrase in your question. I
hope they don't think that will intimidate us? They don't know who they
are dealing with here. This is a combined effort of sooooo many to make
sure everyone who needs WLS gets WLS.
— JennyLynn A.
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