Bad News Today
Well I have been so excited about getting WLS to improve my life. I went and talked with my doctor, she recommend me to a WLS surgeon. I met with the surgeon and he recommend I attend a WLS seminar. My wife and I attended the seminar the other day and decided the RNY is the right WLS for me. So we contacted my insurance today and found out I do not have coverage for WLS ... Turns out my employer elected to a go with a plan that cost less. The disturbing part is my premium stayed the same and I now have less coverage / benefits. I am so frustrated and bummed out right now !!
I am so sorry that you found that out after you had gone to all the trouble of finding a surgeon and attending a seminar. Have you thought about appealing this process?? I believe that some have won the appeals and gotten their WLS covered. It certainly wouldn't hurt to try. If you won't be able to get it that way....there is always getting a medical loan and paying for it yourself. Trust me it is so totally worth it.
Hugs and blessings ~~~ Vivian
Hugs and blessings ~~~ Vivian
GOD GRANT ME THE SERENITY TO ACCEPT THE THINGS I CAN NOT CHANGE; COURAGE TO CHANGE THE THINGS THAT I CAN; AND THE WISDOM TO KNOW THE DIFFERENCE !!!! THIS IS MY DAILY PRAYER.
Vivian Prouty Obesity Help Support Group Coach "LOSE IT 4 LIFE"
Is there any way that you can Self Pay? Dont give up. Next year you might be able to have your boss go with a better plan. Start documenting what your doing to lose weight and all visits to your pcp. Make sure your pcp documents that you went in for wieght loss visits and what was discussed. This way when you are able to get the better insurance you will have the correct documentation. I know things are very frustrating right now, just dont give up.
Dani
Dani
Unfortunately this is all too common these days with companies trying to keep their costs down. You did ask your HR department, correct? I was originally given wrong information from my insurance company and HR verified that it was bad information.
I am sure that you are very disappointed, however, I also agree with the other posters about your self-pay option. At least check out the option and maybe the payment arrangement will be do-able for you.
I am sure that you are very disappointed, however, I also agree with the other posters about your self-pay option. At least check out the option and maybe the payment arrangement will be do-able for you.
I dealt with this in the US, too. Unfortunately, it's much cheaper to go with insurance that doesn't cover WLS, so many companies do just that. My understanding is that there really is no appeal process in these cir****tances. Any chance you can get a part-time job at Starbucks?
Pink!