Insurance Won't Pay!

[flab u less 45]

People rave about Mexico look under that forum

[flab u less 45]

People rave about Mexico look under that forum

[Cocoabean 430]

I am in middle Ga and was just denied by my ins for the 3rd time. This means I can't appeal again. My Dr.'s office says they don't have a hernia repair/lap combo that would lower the costs. Does anyone out there know of anything else that could help? I was denied because my BMI went to 33 in 2009. So, according to BCBS, I haven't been consistantly fat enough. I can't handle it!!!!!

A couple of links are below. The first is for grievances against insurance denials in Georgia. However, if BCBS requires a 5 year history of morbid obesity (or a BMI over 35) you might not have a case. You might also go over to www.obesitylaw.com they are an advocacy group that help to fight insurance companies. See what they have to say.

http://www.online-health-insurance.com/coverage-by-region/GA/resources/page-25.php

http://guides.wsj.com/health/health-costs/how-to-appeal-a-health-insurance-denial/

[yelorz 9]

Not sure I can. The girl at True Results said there is an exclusion by the employer for no Lap Band Surgery.

I think I'm probably in the same boat. My company has an exclusion policy for weight loss surgery too. I'm going to True Results in Richardson and I have a consultation tomorrow morning. Amanda from True Results called me yesterday and said that my insurance wouldn't pay HOWEVER if they find an underlying problem, blah, blah, blah. So maybe if they find I have a hernia or something, we can get around that. Will know more tomorrow. I'm so determined to do this though. If I have to take the money out of my 401k, I will. I'm 61 and have been dieting since I was 12, so this is it.

Do you have a surgery date yet? Good luck to you!

[yelorz 9]

Had my consultation this morning. When the PA examined me, he said he thought from the looks of my stomach that I probably have a hernia. I hope so - in which case I'll only have to pay $5500. My insurance has an exclusion against weight loss surgery. I'm trying to get my endoscopy scheduled for 4/30 and that will tell for sure.