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Denied, but not giving up.

I went away for vacation last week and when I got home I found a denial letter sitting in my mailbox. Strangely, it was from the WLS program that I was going through and not my insurance company. Apparently after researching my case the nurses didn't find any qualifying co-morbid conditions. My doctor had documented severe joint pain and severe psychological, but apparently those don't count. The letter stated that, because they are denying me, my account was being deactivated. They wished me luck with my weight loss and that was it. A little harsh if you ask me. My insurance only covers WLS if you have a BMI >35 AND two co-morbidities. Doesn't matter that I have a a BMI of 47. Ugh.

Coincidentally the next day I got a letter stating that I was no longer eligible for health insurance through them.

Yesterday I called HR at work and finally signed up for health insurance there. I'm wondering if there's a waiting period of any kind, before I can use the insurance. And I need to find out how much of the procedure and visits would be covered, etc.

I work at a local hospital, which has a bariatric surgery program, but I wanted to avoid having anything done within the same network, to keep it all discreet. But now with this health insurance, a higher percentage of the procedure and visits will be covered if I stay within the network.

Enough rambling for today, I need to get making some phone calls!

1 Comment

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sandradee0124

LAP-BAND Patients

Good luck! Keep us posted.

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