Obesity Law & BCBS IL

[GinaJ 2]

Well, I turned in everything in the policy required for the lap band, and after 4 weeks I was denied (in Feb). My doctor's office was shocked because I met all requirements. My doctor's office called me this week and said they wanted my permission to send my case to Obesity Law at no expense to me. I was wondering if any of you have had any experience with Obesity Law. I'm just wandering what my chances are that the denial will be overturned. I hate BCBS of IL.

[jbperry21 1]

Did your insurance company give you a reason for denial? Do you have appeals?

I don't know anything about Obesity Law, but if it's at no cost to you, it can't hurt!

[GinaJ 2]

I do have appeals, but not sure how many and in what time frame. I was denied because they said I had not tried pharmological asistance. That is not even what the policy states! This is so crazy.

[Cota129 0]

I have BCBS of IL. My own doctors told me that I also met the criteria, but BCBS of IL would make me jump through hoops for several months and then still deny. I didn't want to do all they requested to be turned down. I ended up taking out a loan and being self pay. For me, it was a good decision.

[mrscrash2u 0]

Hello, I too have BCBS of Ill and they rejected me in Dec 07. BMI not high enough without 2 other things wrong. Kept testing and have high cholesterol and sleep apenea, re-summitted this past Monday. If they deny me this time I will seek some legal assistance. We are supposed to have great insurance coverage and we pay a hefty premium for it every week but what good is it if they get away with rejecting everyone. We all keep paying more for everything and getting (and accepting) less that there will come a time that you just have to put your foot down and do something about it. Good Luck. Let us know what happens.