How to appeal an Insurance Deniel
The Obesity Action Coalition has put together this wonderful document to help
you appeal an insurance denial for weight loss surgery.
http://www.obesityaction.org/advocacytools/insurance/appealingadeniedclaim.php
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I employed with a company that has completely excludes any weight loss surgerys. Does anyone know if I can have my doctors try to have insurance cover it for health reasons.
You ca always appeal have you talked to your Bariatric surgeon about helping you with this?
I have Anthem BC/BS through my husband’s employer and Anthem stated that weight loss surgery was exclueded from our policy something about there are only 50 plus employees that work for the company my husband works for. I am going to try to do an appeal on medical necessity. I have been to weight loss seminar and my primary care physician states that it is necessary for my health and well being that I have the weight loss surgery. I fall in the severly obese catergory and I have tried to lose weight and tried other programs but I have had no success. I have been overweight for 8 years now and my health contains to decline. I am so many medications for all of my health problems it sometimes is hard to keep up with it all and I am only 39 years old. I feel as though the odds are stacked against me. I cannot figure out why that the insurance company doesn’t seem to mind to continue spenidng out thousands of dollars to treat my medical conditions when I know that alot of them could be resolved or at least better with the weight loss suregery and I know for myself it would make me feel alot better about me. I depise myself when I look in the mirror or at a photo of the person that I have become and I am always depressed, have no desire to do things with my family, I don’t like to sho much anymore cause nothing I put on is going to make me feel in better about my on the outside or the inside. So yes please anyone can you tell why insurance companys act like this toward people who barely make it and need the most help.
My husbands company did the same thing. I wrote to the company and they aren’t changing it. Is there anything else I can do?