Question:
My Highmark BC/BS Policy looks like it has an exclusion, how can I get around it?

According to the my work insurance manual Highmark BC/BS will not cover:treatment, instructions, activities, or drugs (including diet pills) for weight reduction or control, including surgical treatment of morbid obesity: I have 1st appoint w/dr. on 3/20 is there a way around this ?    — carla S. (posted on March 10, 2003)

March 10, 2003
Carla, I have Highmark BCBS and they paid totally for my BPD last June. It IS possible that they made some sweeping changes at the first of the year, but it could be the policy that your employer pays for. I was told that submissions for WLS are handled on a case by case basis, and that each one goes up for medical review. Do yourself a favor and don't rely on the printed material.. call Highmark with pen and paper in hand.. note who you talk to, and ask them point blank if they have a WLS exclusion. You may be surprised with the answer, and if nothing else you will HAVE an answer from a human being. I wish you the very best of luck! ~Peace
   — Joscelin