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aramey75

LAP-BAND Patients
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  1. Like
    aramey75 got a reaction from 2muchfun in Employer Doesn't Have Rider - Has Anyone Dealt With This   
    Its 15 months because they changed policies mid year. Our open enrollment was in August for October, 2012 - December, 2013 so they didn't have to do another round of open enrollment after just 3 months and they can get it back to the calendar year cycle starting January, 2014.
    I really do understand the mechanics behind the rider system. I really do. I just wasn't sure if there was anyone out there who was able to appeal to their employers and actually win.
    What irks me is that Medicaid covers it. I pay for that through taxes. However, my husband works for a government agency. So essentially, they'll cover it through Medicaid but not for their employees. (He is local government, not state).
  2. Like
    aramey75 reacted to FLORIDAYS in Employer Doesn't Have Rider - Has Anyone Dealt With This   
    I am not sure how you can fight a coverage issue because I would think if its not covered it not covered...Mine wasnt so I got creative with my Dr and went in as a self pay.
    However regarding your insurance... open enrollement is usually once a year so I am not sure how thats 15 months until you can make a change in the policy. Unless you have a life changing situation... thats usually a divorce, marriage, birth or emplyment change.
    Do yuu have insurance where you work? If so you could add him to yours if its cheaper... Just a thought.
    Good luck!

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