- 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.
Today I celebrate the 26th anniversary of my Roux-en-Y gastric bypass! Even though I knew this anniversary was approaching, seeing the number “26” just now was still pretty amazing to read. That is a pretty long time – maybe even long enough to feel somewhat …
Exactly 1 month after I founded “The Obesity Law & Advocacy Center” on March 1, 1996, MLB umpire John McSherry died tragically on the field during Opening Day. I was very concerned about how the media was reporting this tragedy and attacking …
There are dangers to playing the payer’s game because bariatric surgery, unlike accepted treatments for any other disease, isn’t always going to be part of a member’s coverage. It is important to not delay submitting the preauthorization request to the health plan, even if their arbitrary criteria isn’t met because a patient’s existing coverage.
For many years the Federal plan medical criteria for bariatric surgery used to require a TWO-YEAR history of morbid obesity. That is changing to ONE YEAR starting January 1st!