Work Insurance does not offer Lap Banding

[Hunthard 0]

New to the site and my first post.

My question is this I called my HR Rep and asked if this type or any weight loss surgery would be covered by my insurance Anthem BC & BS. He stated no. that was an option the group could do but it would cost to much for all the employees. Has anyone ever had this problem? If so how did you go about getting this approved thanks.

[Alexandra 55]

Unfortunately, if you have a large-employer plan and the employer has chosen to exclude all bariatric treatment from the policy, there is very little you can do. If there is a more specific exclusion, such as exclusion of banding but not RNY, you might be able to appeal that on the grounds that it's preventing a preferable treatment. But if your employer has the right to design its own policies and its chosen this route to save money, you may be at their mercy.

Take a look at your contract and see how the language reads. Then check with your state's department of health or insurance (whichever one has jurisdiction over health insurance plans) and see if you have any recourse. Good luck!!