Question:
insurance willing to pay employer has exclusion anyone have this

problem    — msjackiej (posted on April 17, 2008)

April 17, 2008
That's wierd. Sounds like fat discrimination to me. If you had needed cancer treatments would they just decide not to cover it? Maybe they would like to pay for all the medical complications you will have if you keep the weight on. Possibly they need an education about the benefits of the surgery. I can't see how a benefit that is given to everyone in the company does not apply to you. I wouldn't let this slide. Hopefully there is an expert in the group who can advise you about if this is legal. Good luck in your quest - that must be really frustrating!
   — jannmyers

April 17, 2008
My husband works for the City of Jacksonville. Five years ago it paid for my open RNY. I developed a fistula and staple line disruption and was told that there is now an exclusion, we have Aetna. After determining the medical necessity of the revision they paid for it. Keep trying.
   — Tawnda C.

April 17, 2008
I work for a county and they are self insured but has an adminstrater. The ins would cover but my county had it as an exclusion. I went before the Commissioner's Court with my diet history and won. Now I am scheduled for surgery May 5. If you just work for a basic company, i would go before the board of President or something and plead my case so they can lift it.
   — bikermama

April 17, 2008
My employer has an exclusion for Bariatric surgery written into our policies, as we have 78000 employees and more than 15000 have a BNI of over 40. It is not uncommon for large employers to that this an other option to keep the policy cost down. I pad $over 40,000.00 Cash for my surgery. Best of succes to you.
   — William (Bill) wmil

April 17, 2008
My insurance has an exclusion too!
   — baseabolt