Question:
New Clause

We're in open enrollment and I just got the new EOC for Healthnet. They have the same deal but there is a slight change in wording. They used to say that WLS was not covered, except in the case of morbid obesity. This time they say "except in the case of morbid obesity as defined by Healthnet". Has anyone encountered this? I wonder what it could mean - would they think their definition would vary from the standard medical one (BMI>40?) I haven't even gotten to this point because the only nearby surgeon that does the surgery is still in negotiations with my medical group and I don't have an appointment until next month. If you have any thoughts, please let me know.    — w8free (posted on November 4, 2002)

November 4, 2002
ask the insurance company to provide that information to you. By law, they must. Good Luck!
   — Vicki L.