Posted on 10/13/2023 7:33:55 PM PDT by simpson96
A woman is suing her health insurance company for $700,000 for refusing to cover her obesity treatment and claiming she owes them.
Luci 'Lynette' Solorio is suing Regence Blueshield over claims it is refusing to provide her with the 'lifesaving' bariatric surgery she had in 2017.
At the time she got the initial op she was covered by her insurer at the time, Anthem Blue Cross and Blue Shield.
Four years later, she needed to have a follow-up operation. According to a lawsuit she filed in Washington state court in June, Ms Solorio's new insurer would not cover it because it was linked to her previous obesity treatment.
'When I needed surgery in 2022, it was essential and lifesaving,' Ms Solorio said in a statement released Tuesday by her lawyer, Rick Spoonemore.
'I paid my premiums to Regence like everyone else. My surgery should have been covered because it was medically necessary.'
Ms Solorio claims in the lawsuit that Regence's actions were 'illegal and unreasonable' under Washington state law.
Because of Regence denying coverage, Ms Solorio claims she owes more than $700,000 to multiple medical providers and the hospital where she had the follow-up surgery.
Ms Solorio sought treatment for her diagnosed morbid obesity in 2017.
She had sleeve gastrectomy surgery, where a large part of the stomach is removed and left behind is a narrow 'sleeve'.
The surgery was pre-approved to be covered by Anthem Blue Cross.
(Excerpt) Read more at dailymail.co.uk ...
I post this because it reminds me of how every once in a while the news would have a story on the increasing obesity problem in the USA (back when they admitted that was a problem) and they'd always show people fat like that in a food court at a mall, shot so you only saw their bodies, not their heads. I always imagined someone watching thanking "oh lord, look at those pigs! Disgusting. Especially that guy! Wow is he FAT! ... wait... is that my shirt?"
Ozempic users are going to cause premiums to go up. by the way, It really destroys your face. Sharon Obsourne looks really bad. Meghan Markle looks like she is on it as well.
She will win, or more likely, she will settle and the insurance company will agree to pay. Then the insurance company will negotiate the payments from $700,000 to more like $70,000.
ten bucks says she got a lap-band, and dint stop eating like a horse
the pouch stretched out and slipped the band, and now she needs it adjusted/replaced
and that’s on her...
Fascinating. I have heard many good things about Ozempic, but face-destroying is not a well-advertised side effect.
Very complicated.
Her lawyer Rick Spoonemore
I have a friend who went through this kind of surgery; but she didn’t stop eating all the same stuff - heavy carbs, white stuff (bready things, potatoes, sugary, doughy treats, etc.)
She has lost a LOT of weight, but I don’t think she’s really much healthier.
I don’t know if it was Ozempic, but WTF happened to Ariana Grande and Miley Cyrus?
Those two skanks hit the wall at Mach 5...
Celion Dion is fighting some kind of health battle which might be why she looks anorexic but Ariana Grande looks like she has an eating problem. I just looked at Miley Cyrus. wow...she is not aging well at all.
I believe that for some people, it’s not so much a case of eating less, but of WHAT they eat.
How much does it cost to staple her mouth shut?
That billionaire guy who is trying to fight aging with all his pills, treatments, MRIs, etc. looks far worse now than he did before he started his crazy routine
The 2 female Osbornes turned themselves into the stereotypical cookie-cutter version of botox/lip plumping oblivion.
Way to de-humanize yourselves, ladies!
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