Can someone tell me if that means that I won't covered for the laopband- I just went to my seminar yesterday?? Thanks
This what is under my covered benefits in my certificate booklet
Obesity
Covered Services for obesity include up to two nutritional
counseling visits when referred by your Primary Care
Physician. Prescription Drugs and any other services or
supplies for the treatment of obesity are not covered.
Surgical treatment of obesity is only covered for patients
meeting Medical Necessity criteria, as defined by us. Precertification
is required, and coverage is only provided for
gastric bypass or vertically banded gastroplasty.
and then under exclusions and what's not covered:
Any services or supplies for the treatment of obesity,
including but not limited to, weight reduction, medical
care or Prescription drugs, or dietary control (except
as related to covered nutritional counseling).
Nutritional supplements; services, supplies and/or
nutritional sustenance products (food) related to
enteral feeding except when it’s the sole means of
nutrition. food supplements. Services for Inpatient
treatment of bulimia, anorexia or other eating
disorders which consist primarily of behavior
modification, diet and weight monitoring and
education. Any services or supplies that involve
weight reduction as the main method of treatment,
including medical, psychiatric care or counseling.
Weight loss programs, nutritional supplements,
appetite suppressants, and supplies of a similar nature.
Procedures including but not limited to liposuction,
gastric balloons, jejunal bypasses, and wiring of the
jaw.
