Question:
Hi everyone. My insurance has an exclusion

that states no surgical treatment for obesity. Do I have a chance because they dont say morbid obesity? My BMI is 43 and I have several comorbids (asthma, acid reflux, back pain). Do I just send in the info and give it a shot? Thanks ahead of time.    — Leslie S. (posted on December 28, 2004)


December 28, 2004
You would have to get an attorney's opinion on the wording. As far as your co-morbids, only the acid reflux is one of them that would qualify you unless your back pain is from a degenerative condition. Back pain in itself is not a co-morbid. A co-morbid has to be a disease that is life threatening. The asthmas maybe one but I do not think that it is the result of your obesity. Good luck.
   — ChristineB

December 29, 2004
Make sure your insurance covers the tests needed to prove you need surgery. Psych eval, etc. - talk to your surgeon. Then I'd say just go for it! All they can do is say no!
   — Dedicated




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