Help! Had surgery, but new insurance won't cover fills

[Mary-2b150 0]

I had my surgery in 2007 with BCBS of Massachusetts (the best insurance company ever by the way!), but in 2008 our employer switched to United Health Care (booo!).. I went to the doctor for fills all last year and never had a big bill, so I figured they covered adjustments. Just last week I got a bill for around 300 dollars, saying they don't cover the injection (the fill). I called and they just kept repeating that "medical treatment of obesity is not in your policy". I asked why they paid all last year, but they seemed to think it was a mistake and kept repeating what was in my policy.

I need some help here, is there anything I can do? I know 300 isn't much in the grand scheme of things, but it makes me so angry that they won't cover the aftercare. So I have this great tool inside of me to help me lose weight, but we're sorry we're not going to help you use it. Great company!

Am I overreacting here? I almost feel like it's so discriminatory. I feel like if it were any other type of surgery the aftercare would be covered even if you switch insurances, but because that word "obesity" is in there, it's okay to deny the claim.

Any help or information on what I can or can't do would be greatly appreciated! If not, at least I vented my frustrations a little. I am so scared too, I felt secure knowing I had insurance, but now if something goes wrong, I have no idea what my options are. Well, thanks for listening, I hope to hear fromsomeone

[luluc 6]

i would get a copy of your policy in writing - specifically as it pertains to WLS and what it does/does not cover.

me - i think BCBS sucks (TX vs at least). i had a bmi of 36, and i didn't qualify because i didn't have any comorbids - so i was denied.

i went self pay & the first chance when open enrollment came around -DH and i dumped them and signed up w/UHC.

while they didnt' pay for my surgery - they have covered every office visit / fills / 2 endoscopes / 1 hernia repair.

it's all in the policy i'm afraid.