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 ...
Instead of blaming the insurance company how about taking a little responsibility for yourself and laying off the groceries. The insurance company didn’t force feed you.
You seem confused. How did you come up with 70 pounds lost?
Looks like 40 pounds to my calculator.
Quote from my doc this week to me "Some people love to eat, and others eat to live." He was blown away that I've learned to eat to live. Best doctor ever.
You are right, actually it is more like 38 lbs. I don’t remember how I came up with that crazy figure. I stand corrected.
If they pre-approved it then backed out, I’d be more inclined to give her the benefit of the doubt.
Otherwise, her weight is her own doing and her own responsibility.
Their recommendations for preventing ozempic face would work well as a weight loss program without the drug.
My contention for weight loss is when you eat, eat the protein and low carb veggies first and start to fill up. THEN eat any carbs, when you are partially sated. That way you won’t binge on carbs. Since you are eating fewer of them, you will lose weight.
celine has a horrible debilitating disease and she has always looked gaunt imo....
Give her 100K in sugar pill placebos.
/humor
Regards,
They are refusing because you’re too fat to safely operate on without you dying on the table.
Alan Shore and Denny Crane would take this case.
Is she a diabetic yet?
A neighbor was overweight, disc issues, the sugeon told him to lose 50lbs before he would operate. The neighbor did!
I've been on it in the past. No, it doesn't destroy your face. The problem is people lose weight too fast and get that gaunt look because the skin hasn't had time to adjust to the new weight.
“Eat less, exercise more”
Concur. Eat healthier. I guess some people like stuffing crappy processed junk down their piehole and aren’t going to change for nothing.
How does it destroy faces?
Weight loss changes faces.
And Osborne is really old.
Markle is pretty old too.
No you are wrong
Pay up
“Wrong. Try reading the article.”
“She had sleeve gastrectomy surgery, where a large part of the stomach is removed and left behind is a narrow ‘sleeve’.”
Stomachs still stretch. It’s like any other organ such as skin, they will continue stretch into larger proportions, even after the “miraculous” surgery.
Actually she is not for that particular surgery
If she would just get up from the table for more than to go to the bathroom she would not have been in need of that surgery. Se did it to herself. Insurance should not have to cover self induced medical conditions unless it is stated in the policy that such things are covered.
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