Question:
Anyone used either BlueCross
Have either of these two policies...BlueAdvantageEntrepeneur - -a group plan, or Trustmark--individual policy ever been successfully used to pay for WLS. If so, were you denied and then successful on appeal, or was getting approval relatively straightforward? Thanks — Julie P. (posted on February 29, 2000)
February 24, 2001
Julie,
I was denied by BCBS Blue Advantage. I have called prior to the
appointment with the WLS surgeon and qas told that if it was medically
necessary that they would cove 100%. But after the appointment I was
denied and was told that it was a listed "Exclusion" and they
would not cove it at all.
— Katherine S.
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