Quote:
Originally Posted by Native2u
First of all Jersey....I don't have "dogs".
Yes, they can. But were you NOT upset about their decisions?
So, you would have been good without surgery, even though you qualified for surgery..without your insurance company paying? To have t pay for WLS out-of-pocket, is a lot of money to come up with. But when you qualify with your insurance company and you have met all THEIR requirements, they should pay for your surgery. You pay your monthly payments to your insurance company...don't you?
It is common, I agree. But in the long run the insurance companies are going to SAVE money by paying for WLS (if their requirements are met). Come on, they are going to SAVE a lot of money on all of the Pharmaceuticals as well as surgeries/heart attacks and more that WLS could prevented in the beginning.
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Yes I was upset, but this was the insurance company I had and it was their requirements. I can qualify for plastic surgery and be a great candidate, but doesnt mean that an ins company has to cover me if they don't deem it medically necessary. Does that make it right? ABSOLUTELY NOT. If you want a better insurance policy, pay out of pocket for another one. Its a shitty option, but its the only one we have nowadays.
Did my ins company make out in the long run? Ha, right now according to them NO. I had 3 subsequent surgeries last year at the age of 24. I don't think they made out IN THE LONG RUN with me. They probably thought, okay we paid for her wls, but now look at the crap shes got.
Insurance companies arent fair, and joy shouldnt have to go through it, but if she does.. its ONLY another 6 months. She's gonna look back on this is 3 yrs and be like THAT WAS SO EASY.