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Can the insurance company manipulate dates to avoid paying 100%
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I have been thinking about surgery for years but always felt it was soooo expensive and my weight wasn't THAT bad. After a lifetime of obesity this year it got THAT bad. I decided that this was the year to make a change. I will end my 6 months supervised diet in October. My BMI is 39.5 to 40.2 usually. Each calendar year between copays and deductables, I have to pay 8000.00 out of pocket at which point my insurance covers 100%. For the first time ever, I will be about at 100% by August. I can not come up with 8000.00 again next year if they successfully put me off until 2015. Has anyone had experience with this situation.Now that I am determined to have WLS the what if's are making me worried.