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educ8or2000

LAP-BAND Patients
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Everything posted by educ8or2000

  1. Hi all, I'm a newbie here....been interested in lapband for a couple of years, but no luck. Doctors say I qualify but it's listed as an exclusion on our insurance policy. We have BCBS and we live in Ohio. Is there anything I can do now? I want to fight it...but I need to know where to start. Thanks!
  2. educ8or2000

    Newbie question about exclusions

    I was denied 2 years ago. I didn't know what else to do, so the battle stopped there. I asked the insurance company and all they said was that it was an exclusion. As far as asking my company, I'm actually on the insurance committee so it's been mentioned by me and another member. I work for a small school district with only about 250 insured employees, plus family members. The response I got was pretty much ignoring the fact and moving on. When I mentioned it again, our agent said that "most companies are not covering it anymore..."x" just stopped covering it and "y" will not after..." I don't know enough about it, but I do know there are 100s of people getting it done and their insurance pays...I wanna be one of them! What do I do now? Where do I go? Who do I talk to? Thanks!

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