I read an article recently about WLS and insurance. If I remember correctly, there are only a few states that mandate coverage for WLS. In the other states, WLS must be "offered" but it is up to the employer to add that rider to their insurance coverage. It adds to the cost of insurance and that is why a lot of employers choose to leave that coverage off the plans they offer.
It's too bad that we can't choose to add that coverage and pay the extra even if the employer doesn't. My insurance coverage specifically excludes coverage of any WLS surgery or any medically supervised weight loss plans. Guess they want to keep us fat so we die early and they have to pay less. Or, on the other hand, they can pay for all my complications from obesity (GERD, hypertension, high cholesterol, etc) which in the long run is gonna cost a lot more than they would pay for the surgery. I've tried to figure out their line of thinking but it sure doesn't make sense to me.