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Weight Loss Surgery If you've had it, or are considering it, share your discussions here

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Old 10-24-2009, 03:28 PM   #1
pkend4593's Avatar
Join Date: Jun 2008
Location: Florida
Posts: 83

S/C/G: 285/tickler/150

Height: 5 8

Default How to get around insurance

Hey guys
How do you get around the insurance company if your medical insurance policy states it will not cover any weight loss surgery

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Old 10-24-2009, 04:16 PM   #2
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Location: Yorktown, VA USA
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You can't if it's in the policy.

HW 356 pounds - CW 135 - GW 137

Life isn't about waiting for the storm to pass. It's about learning to dance in the rain.
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Old 10-24-2009, 05:05 PM   #3
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Location: Northwoods of Wisconsin
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If your policy says it won't pay, it won't pay. Most hospitals know this, and will set up payment plans for you. Or, if you are willing, you can change your insurance policy to one that will cover... but you might pay more $$$ in the long run. Plus, most insurance policies will only pay for weight loss surgery as a last option. For example, my insurance policy will pay for weight loss surgery, but I first need to prove I've seen a nutritionist, received counseling, and have seen a doctor for weight related problems for one year before they will CONSIDER paying for it. But like I said, with all of the co-pays, medicine, and uncovered appointments... you might be paying more in the long run.

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Old 10-24-2009, 06:57 PM   #4
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Join Date: Feb 2005
Location: Northern VA
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S/C/G: 324 highest known/on hold/150

Height: 5' 5"


Can you tell us the exact wording of the exclusion? I've seen some people fight and win when a policy states it will not cover any treatments for obesity. MORBID obesity is not the same thing. So there may be loopholes - post the statement, and we can try to dig into it!
Highest known weight: 324
Weight on morning of DS surgery: 308.5
Got down to about 185 before pregnancy;
Benjamin David born March 24, 2012, 7 pounds 11 ounces
Post-pregnancy: 206.5
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