Mercy Care Help????
Ok I have jumped through all the hoops, I have everything that was required. My doctors office is getting ready to submit to the insurance for approval within the week. I was just wondering if anyone knew how long Mercy Care AHCCCS plan usually takes to get an answer? Thanks for any help you can give!
OK ..good news ..bad news...Just about everybody is denied..for lap or even RNY...THats is the truth. ...Sadly.
I had every health conditions possible..including a deadly disease of Stage 4 liver disease..the worst you can have...they still denied me.
When they denied me..which they do this over 95% cases ...They hope you wont appeal..as in most folks dont..they give up...I am TELLING DONT GIVE UP. My passionate Dr. at the time called my hubby and asked if I appealed..no..I was angry. HE said he ( the Dr. ) he couldnt appeal without a letter from me...on the last day to submit Dr. notes again..and a letter from me..he called hubby and Made me write a letter...I did angryily..in my living room...wrote a letter with ripped edges..children note pad...scribbled letters..scatches ..misspelled words. Threw it at Hubby( now I laugh.LOL) and he brought it to the Dr's office that day..and they faxed the same notes from the dr and my new note.
NOW imagine...that WE did nothing different..just resubmitted the Dr. notes and my scratch letter ..one week later..with nothing new done..I WAS APPROVED>..so as I tell you that they will probably deny you..appeal...and it may work...
Good luck with your case..and appeal..I had surgery 3 years ago..and would do it all over again..with DR. FAng..
HUGGIES. Kathleen
I had every health conditions possible..including a deadly disease of Stage 4 liver disease..the worst you can have...they still denied me.
When they denied me..which they do this over 95% cases ...They hope you wont appeal..as in most folks dont..they give up...I am TELLING DONT GIVE UP. My passionate Dr. at the time called my hubby and asked if I appealed..no..I was angry. HE said he ( the Dr. ) he couldnt appeal without a letter from me...on the last day to submit Dr. notes again..and a letter from me..he called hubby and Made me write a letter...I did angryily..in my living room...wrote a letter with ripped edges..children note pad...scribbled letters..scatches ..misspelled words. Threw it at Hubby( now I laugh.LOL) and he brought it to the Dr's office that day..and they faxed the same notes from the dr and my new note.
NOW imagine...that WE did nothing different..just resubmitted the Dr. notes and my scratch letter ..one week later..with nothing new done..I WAS APPROVED>..so as I tell you that they will probably deny you..appeal...and it may work...
Good luck with your case..and appeal..I had surgery 3 years ago..and would do it all over again..with DR. FAng..
HUGGIES. Kathleen
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