Question:
Was denied referral to surgeon today. I need all the help I can get!

I was first told that the surgery was not specifically excluded and then later told it was. The exculsion says, "Surgical operations or procedures for correction of obesity including gastric stapling orballon procedures" I know the wording doesn't include "Morbid obesity". Also there is a clause in the policy that says they can decide to make an exception and approve a procedure that is excluded. Can I use that to work for me. I am open to any and all suggestions. Thanks!    — cheryl R. (posted on September 13, 2000)

September 13, 2000
CHERYL; There is a legal firm in San Francisco that specializes in OBESITY denials. They have flat rates for their clients. Your case can be based in any state.The lead attorney has had a RNY and only handles Obesity cases (He feels the pain). See WWW.OBESITYLAW.COM Hope this may help you Sincerely, Bill
   — WILLIAM G.