Question:
Regence Blue Cross Blue Shield, HMO Oregon
My benefit specifically says: SERVICES AND SUPPLIES PROVIDED FOR OBESITY OR WEIGHT REDUCTION: Surgery or treatment (including any later complications), even if YOU or YOUR ENROLLED DEPENDENT has other medical conditions related to or caused by obesity. Specifically excluded are: gastric stapling or bypass procedures, weight loss programs, counseling, hypnosis, biofeedback, neurolinguistic programming, guided imagery, and other forms of relaxation training as well as subliminal suggestion sued to modify eating behavior. Unfortunately my employer is BCBS and I don't have an option to chose another carrier. I hope that through persistence from myself and appeals that include my Drs that I will somehow get this. I expect many denials however. I am concerned that since I work for them that getting obesitylaw.com (attorney help) wont be a wise option for me as I'm a single parent with no support and I need my job to take care of my daughter and myself. Please help me if you can. Tell me what you have done to fight this insurance company. Can you help with advice on writing appeal letters etc. Any information would be greatly appreciated. — Dawn R. (posted on January 29, 2001)
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