I have Carefirst BCBS PPO but supposedly I do not have WLS option on my policy therefore lapband is not even an option. Seems to me there should be a work around not having the WLS option on policy. I called them and asked if I weighed 1500lbs, would you pay for surgery or just continue to pay $600 a month for pills, year after year.....Guess what...they just wont pay for WLS without having WLS option on ones policy....anyone know workarounds for this? I meet all the criteria..BMI, sleep apena, diabetic, hpertension etc...

My days insurances policy doesn't cover it either, its BCBS of IL but they go threw this different company because hes part of the union. There is nothing I can do about it. Luckly I was only trying to use it as my secondary insurance.

My daughter went through all the testing for 6 months and then was denied because of the no WLS clause on her policy (which she did not know about ) when she had first called Horizon they told her all she needed to do was to go through 6 months of counseling. She is devestated needless to say and there is no way around it. Her surgeon is going to give her a cash discount(ofcourse Mom is helping her pay) so she can have the surgery. I had the lap band on March 30th with the same docter and he is worth every penny. I was hoping with the new healthcare bill that businesses would not be able to put that clause on policys since the bill is big on preventative medicine. I told her get a new job with better health benefits but that is another story.