Carefirst BCBS PPO no WLS on policy. Secret to still get approved?

[fredguy 5]

I have Carefirst BCBS PPO but supposedly I do not have WLS option on my policy therefore lapband is not even an option. Seems to me there should be a work around not having the WLS option on policy. I called them and asked if I weighed 1500lbs, would you pay for surgery or just continue to pay $600 a month for pills, year after year.....Guess what...they just wont pay for WLS without having WLS option on ones policy....anyone know workarounds for this? I meet all the criteria..BMI, sleep apena, diabetic, hpertension etc...

[Nean4488 1]

My days insurances policy doesn't cover it either, its BCBS of IL but they go threw this different company because hes part of the union. There is nothing I can do about it. Luckly I was only trying to use it as my secondary insurance.

[JudyDF 0]

My daughter went through all the testing for 6 months and then was denied because of the no WLS clause on her policy (which she did not know about ) when she had first called Horizon they told her all she needed to do was to go through 6 months of counseling. She is devestated needless to say and there is no way around it. Her surgeon is going to give her a cash discount(ofcourse Mom is helping her pay) so she can have the surgery. I had the lap band on March 30th with the same docter and he is worth every penny. I was hoping with the new healthcare bill that businesses would not be able to put that clause on policys since the bill is big on preventative medicine. I told her get a new job with better health benefits but that is another story.