Question:
Has anyone been approved for surgery with a self-funded Beech Street Plan?

   — cynthia M. (posted on February 10, 2003)

February 10, 2003
My husbands company is a self pay beech street. Ther is a specific exclusion for obesity including morbid obesity. They were not willing to even consider wls. I have changed ins. to my company carrier (pacific Life) they will cover. Do not give up! Best of luck. Dawna
   — Dawna B.

February 11, 2003
Hi there...I'm not sure if this is the same thing. I'm only twenty and decided to take off from school to have my surgery..My dad's insurance is beechstreet and i had to get a cobra policy while i wasn't in school...they did pay their part but it took a little convincing...if you'd like feel free to email me if the situation is similar. [email protected]
   — Becca P.

February 11, 2003
I have a self insured Beechstreet plan and they paid for everything except my out of pocket for the year and what I was overcharged for by the anesthesiologist(?sp)Our company's policy says that if it is medically necessary it could be reveiwed by our plan's board and if denied I could appeal to our administrator who happens to be the VP of our company. Lucky for me, my doctor wrote such an awesome letter of medical necessity that the board approved it the first time around. It all depends on what your company has outlined in their plan as to what they will cover. Ask someone in your human resources who they deal with at your insurance company if they want to find out if a certain procedure is covered by your plan. You don't need to be any more specific than that if you don't want them to know. Then call and speak to someone and ask them if it is covered under your plan if deemed medically necessary. If they say yes, ask what they will require,in detail, in order to start an approval process. If they say your company as included an exclusion clause then you are pretty much sunk. Please feel free to email me if you have any other questions.
   — Traci B.