Question:
Help me understand this please

My original contract with BC/BS of Florida excluded weight loss surgery with the exception of medical necessity--which I have a bmi of 41`, severed diabetes and hypertension. I have been jumping hoops since Nov.19, 2001-and I finally heard I was denied Friday---anyway--my insurance was given a rider January 1, 2002--this is the new wording--"surgical procedures performed on an Insured for the treatment of Morbid Obesity, e.g. intestinal bypass, stomach stapling, balloon dilation, and the associated care provided the Insured has not previously undrgone the same or imilar procedure in he lifetime of this contract--delete the exclusion subset, intis etrety, and replacingit with the following--Surgical procedures for the treatment of Morbid Obesity including--all the above--if the Insured has previously undergone the sae or similar procedures in the lifetime of this contract. Surgical procedures performed to revise, or correct defects related to, a prior intestinal bypass etc are excluded. Will someone please help me with this---it sounds as if you can have the surgery if you have never had a similar procedure before--HELP    — Linda L. (posted on March 16, 2002)

March 16, 2002
I don't know who your current DR. is, but try calling Dr. Samuels in Ft. Lauderdale, Fl. Before I decided to stay in state for my surgery, I contacted Dr. Samuels office and they said they would help me around the my insurance clause. It's worth a try. He is my girl friends Dr. and she loves him!!!
   — Tammy D.