Follow ups coverage

I posted this in the insurance forum, but wanted to check in here also and see if anyone had any information.

I was wondering if anyone has had this problem or any advice for me.

I had the LAP-BAND® surgery in June of 07. My company insurance was BCBS of NC at that time and they covered surgery and follow ups, fills etc. Later that year, my company went self insured thru med cost. At that time the HR department told me nothing would be covered related to weight loss or my follow ups. Because of this I have not been able to have regular follow ups and maintenance. I only go when I can save enough to.

I spoke with our HR again, but she was no help and I also spoke with a company nurse and she said that she believes this is wrong. Because I did not change insurances and I have a medical device in me they should not deny me care now.

I need to know if anyone else has dealt with this and if there might be any options I could take. Thanks so much!

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