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Long-Term Post-op Discussions for gastric bypass patients more than one year after surgery.

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Old 06-15-2006, 11:34 PM   #1 (permalink)
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Default Denied Health Ins Because Of Gastric Bypass Surgery

Hi All, I had gastric bypass surgery in 2002. I recently quit my job because I will be moving. Since I will no longer be covered by my employer's group health coverage once I leave the area, I applied for an individual health care insurance and was denied because I had gastric bypass surgery. Has anyone out there had the same problem? Does anybody know of any insurance companies that don't deny coverage based on a history of gastric bypass surgery?
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Old 06-15-2006, 11:45 PM   #2 (permalink)
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I've heard this rumor and hoped it only excluded us short term until we got lighter and healthier. That sucks!
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Old 06-16-2006, 08:33 AM   #3 (permalink)
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Quote:
Originally Posted by marylou
Hi All, I had gastric bypass surgery in 2002. I recently quit my job because I will be moving. Since I will no longer be covered by my employer's group health coverage once I leave the area, I applied for an individual health care insurance and was denied because I had gastric bypass surgery. Has anyone out there had the same problem? Does anybody know of any insurance companies that don't deny coverage based on a history of gastric bypass surgery?
Mary Lou W.
You should be offered Cobra by your employer in which case you would be a "guaranteed issue" b/c you would fall under Cobra's group. It is expensive, but easier to get than private issue.
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Old 06-16-2006, 12:52 PM   #4 (permalink)
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same thing happened to me! Bummer
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Old 06-16-2006, 01:46 PM   #5 (permalink)
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Wait, so we get denied because we were to fat, and then we get denied because we corrected the problem. What a racket!
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Old 06-16-2006, 04:40 PM   #6 (permalink)
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Contact the office of your state's Attorney General and find out what division of your state government regulates insurance. Contact them. Find out if the division has an ombudsman. You may have recourse against the insurance company that turned you down.
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Old 06-16-2006, 06:25 PM   #7 (permalink)
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Quote:
Originally Posted by marylou
Hi All, I had gastric bypass surgery in 2002. I recently quit my job because I will be moving. Since I will no longer be covered by my employer's group health coverage once I leave the area, I applied for an individual health care insurance and was denied because I had gastric bypass surgery. Has anyone out there had the same problem? Does anybody know of any insurance companies that don't deny coverage based on a history of gastric bypass surgery?
Mary Lou W.
You had your surgery in 2002.... That's four years ago. I would definately contact your state District Attorney and ask "what da phuck??"
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Old 06-16-2006, 07:52 PM   #8 (permalink)
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I was able to get a basic health insurance policy at a decent price. If you're staying in CA, my agent can help you. I'm sure she may even know of someone in another state if you're not staying here.
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Old 06-16-2006, 09:47 PM   #9 (permalink)
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Most, if not all, health insurance companies will deny individual policies for health issues far less significant than gastric bypass surgery. If at all possible you probably will do best continuing your policy via COBRA.

I have health insurance through the California Major Risk Medical Insurance program which offers insurance to people unable to get individual policies. http://www.mrmib.ca.gov/MRMIB/MRMIPBRO.pdf
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Old 06-17-2006, 05:51 AM   #10 (permalink)
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Is COBRA a temporary insurance that you can keep for only 18 months or 2 years and then you need to get a traditional policy or back on with an employer??
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