- WHO ARE WE?
- WHY INSURERS DENY
- GET STARTED!
- THE APPEAL PROCESS
- WALTER’S BLOGA blog authored by Walter Lindstrom, President of Lindstrom Obesity Advocacy, focusing primarily on bariatric surgery and obesity treatment insurance issues.
There are many challenges in cases like these. Can it really be established that there IS a “complication” in a case where there is no erosion, slip, obstruction, stricture or other identifiable “technical defect” in the original procedure? Shouldn’t this be challenged based on simple “fairness”? After all, insurers don’t limit members to one cancer treatment – one knee replacement surgery – one diabetes medication, do they? ISN’T THIS PLAIN OLD DISCRIMINATION?????
Imagine this scene: Your body mass index is well above 40, you have several obesity-related diseases and you’ve tried and failed numerous diets over many years. YOU ARE FINALLY READY to consider bariatric surgery. You medically qualify for bariatric surgery and you are committed to …
Pending final editorial re-writing, the Blue Cross Blue Shield Technology Evaluation Center appears poised to “endorse” the concept of gastric bypass surgery as a treatment for type 2 diabetes in people who are not morbidly obese. The ramifications are, in my mind, monumental
At the time her doctor submitted the preauthorization request for a RNY gastric bypass, this 43 year old female patient had already completed a supervised diet and received her nutritional, psychological and medical clearances . . . just like Aetna’s medical policy (0157) requires. Easy …