Question:
Is obestiy considered a disability in texas
does texas insurance have to include obesity surgery in their policies now????? — SHERRY M. (posted on July 25, 2002)
July 25, 2002
Nope, they sure do not. In fact, BCBS of Tx is notoriously anti-wls with
their iron-clad exclusions. I do know that Texas has the Texas
Rehabilitation Commission which will pay for surgery if you meet their
criteria because, regardless of the fact that the state doesn't recognize
obesity as a disability, it is still recognized as a disability by federal
agencies.
— Diana M.
July 25, 2002
I live in OK, but have BC/BS of Texas through my husband's employer. I
applied for the DS, and was denied because they needed more information,
but at the same time, they said they would approve the RNY is we would
submit a claim. I really feel the BPD/DS is the superior surgery. Haven't
decided what I'm going to do yet, but at least I am assured of getting the
RNY.
Marca
— Marca J.
July 26, 2002
I have BCBSofTX and my policy has a Exclusions "regarding anything for
reduction of obesity or weight, including wls, even if the Participant has
other health conditions which might helped by the reduction of obesity or
weight". BCBS advised my employer could write a letter of waiver on
the wls, since they where the one who included it. You and hubby write a
letter requesting a waiver to his employer and ask PCP to write a letter of
medical necessity to hubby's employers. Ask hubby to personal delv letters
to human resource dept at his work.
— TexFlutterby
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