I called our insurance company today and they cover WLS if it is medically necessary. Medically necessary is determined by 5 years of being morbidly obese and having at least 6 consecutive months of medically supervised dieting.
The catch is that they don't cover the medically supervised weight loss programs. So I have to try to figure out how to afford that - there's a bariatric physician here in town but it costs about 100 - 125 per month depending on what medication she prescribes.
Then there is the hospital program - but it is 200 a month for the medical supervision and 92/wk for the nasty food they want you to eat.
Which would be fine if I didn't have to feed anyone but me. But how exactly do I spend 400 a month on food for me and then groceries for dh and dk????
This sucks!
Can't have WLS until I've been on a medically supervised diet but I can't afford the diet because it isn't covered by my insurance and in the mean time I just keep getting fatter, more depressed, more frustrated and less healthy.
The really annoying part is the usually Aetna does cover med. supervised wt. loss - but dh's employer specifically excludes them.
I'm frustrated!