This is my first post so please forgive any ignorance. My insurance clearly states they do not obesity surgery even for the morbidly obese. Is is still possible to get them to cover it?:tongue:

i am not sure of your question??

I think what he/she is saying is that even if their insurance says they do not cover the surgery, can they fight it and try to have it covered by insurance.

My answer is that I think I've heard of some people doing this, but it's very rare. Also, if your insurane is through your company, sometimes the company has exclusions and will not support it. For instance, last year my company did not support the lap band surgery, so no matter how much I fought for it, I could not get it covered, but this year they do support it so now it's being reviewed. If they say no, I can still fight it. (appeal it).

You might want to do a search on here for your insurance.. Which do you have?

I have United Health Care

Idget,

I went from one sister company to another. Both have UHC but they had different plan coverages. It depends on the plan your employer has requested. If you can get the insurance handbook, it will state whether there are any stipulations on what can and can't be changed. Next to the section for weight loss surgery it will say what reasons the surgery "may" be covered. Or it will say 'not covered even for medical reasons".

Good Luck!

i had the same clause- not only did i have to self pay, but if something goes wrong i will have to pay for that too!

If there is an exclusion clause, you can't fight it.