Question:
Should I give Up???

Well, my insurance has denied it does say it is not a covered benefit...I did see it with my own eyes and I did call the employer...so now what...I guess that is it??? Does anyone have any suggestions?    — Marie B. (posted on July 25, 2001)

July 25, 2001
Marie, I too was told it didnt cover this procedure.. my nurse and primary physician went to the Utilization Dept. within my insurance to take it to the panel for approval.. only the Dr's office can contact this dept. within.. do some more checking and investigating.. ask around.. be noisy.. good luck...
   — rinkadinktx

July 25, 2001
PLEASE do NOT give up. That is exactly what the insurance companies want you to do. I had an exclusion in my policy BUT morbid obesity is a situation wher the exclusion is meaningless because you qualify for the surgery and even though the insurance company will try to deny you treatment, they are practicing discrimination if they don't cover you. Please ead my profile to see what I learned and went through I will send you a copy of my letter that got me from denial to approval within a week with no formal appeal.
   — Lisa B.

July 25, 2001
NEVER GIVE UP.... NEVER SURRENDER
   — blank first name B.

July 26, 2001
Does your insurer know that your diagnosis is "morbid obesity:? That, often, makes all the difference. Every insurance has limitations on services for obesity; but, morbid obesity is a whole different matter.
   — [Anonymous]