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Any get approved by BcBs with having a written exclusion for wls?



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Hello,

Anyone ever have any luck with getting gastric bypass approved with having a policy with a written exclusion? It isn't a employer based exclusion just a general wls exclusion. Is there any point in trying to get it approved or should we just try to find financing options?

Thanks,

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I went through this when I was getting my lapband three years ago. If there is a written exclusion, you aren't going to get around it. There really isn't anything you could do. You could be on your deathbed with a bazillion co-morbidities and they will continue to deny approval for the surgery.

You can look into supplemental health plans as that is sometimes cheaper than paying out of pocket, but depending on your co-morbidities and/or your BMI, it may be difficult to get the coverage you need to have the surgery. It would be worth trying for something like that.

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