DENIAL AGAIN!!!!!!

Hello Everyone Well I was denied again. They said " The correspondence you provided including medical records from Aug 1996 to date ; to detail the medical history and confirm the medical necessity for treatment. In the funding decision the surgery is reconized as being medically necessary, however , as th specialist confirmed, the appropriate standard of care is available in British Columbia: The review also noted the attending medical specialist did not indicate an urgent surgical date had been requested in British Columbia, due to life threating medical condition . It also states if your specialists may submit additional medical documentation to my attention , within 45 days of Review date. Well I cannot even get in to Dr Meneghetti until Sept. (maybe). No way can I make the 45 day time line. I phoned Medical and left a message to the women who wrote the letter telling her 45 days are not enough, also why do some of Dr Meneghetti patients get approvel and others don`t ? I give up , the fat lady has sung. Sharon

Hi Sharon, I don't have any advice, but Im guessing because the Dr wrote that this surgery IS available in BC is why they didnt approve you, BUT really it isnt available. Dr Amson is the only one doing it at the present time and you would have to wait over a year just for a first consult, then another 2 to 3 years for the surgery...to me thats NOT available. I finally gave up after waiting 5 years for Dr Amson and went to Mexico. Paid for it myself ( Mexico is much less expensive than the states) Sorry, hope you keep trying Becky