Question:
DO I HAVE A CHANCE TO GET WLS

My insurance is UHC choice and the exclusion reads.....except as may be specifically provided in section i or the summary plan description or thru a rider to the plan the following are not covered.....surgical treatment & non-surgical treatment of obesity ( including morbid obesity).    — JO M. (posted on October 2, 2004)


October 2, 2004
except as may be specifically provided in section i Those are the key words You need to go back and look at those exceptions and see what they read. Most of the time it says unless medically necessary.
   — Shell G

October 2, 2004
I have UHC and my policy states the coverage for surgery for morbid obesity in the exclusions section. Read all of your exclusions carefully. Mine reads "surgical treatment for weight loss, unless there is a diagnosis of morbid obesity." My particular UHC plan uses the National Institutes of Health's definition of morbid obesity which can be found at the NIH website. Best wishes!
   — Shayna T.

October 2, 2004
Jo, There's always the option of self-paying. I went to Spain for my surgery, and it was VERY affordable - particularly in comparison to self-paying in the states. Let me know if I can help. Okay? Blessings, dina
   — Dina McBride

October 2, 2004
Hi. I have UHC and was approved in 2 weeks. Don't give up on the surgery. If UHC won't pay go to the website clos.net and have it done there for only $17,000. You can self pay there but the price is reasonable. Everyone who has had it done there is very happy with it. I have emailed back and forth with many of them. I was going to go there if my insurance wouldn't pay for it.
   — NL

October 5, 2004
I did not use UHC but numerous people I work with are being approved for the surgery. This has increased also since the AMA has now listed obesity as a disease rather then a condition. Good luck!!!! It is well worth appeals, if necessary!
   — Christine C.




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