Denial Letter

Okay I am so sad and mad that I received a denial letter from my insurance. I would love to know if any of you have gone through this and how you deal with it.And maybe I am doing something wrong. I am just so frustrated I dont know what to do please help.

OMG, I am so sorry!  That must have been devastating!  What exactly did the denial letter say, did they give a reason?

It is very common for the insurance companies to give denials in the beginning, You have to do appeals...

The denial letter said ( based on hte information provided by the requesting provider/physician, you do not meet the established medical necessity criteria or guidelines for the above noted services at this time) I dont know what to do.

There was no reason on the back of the letter or anything?

I received a denial letter. But it was because my doctors office submitted a "pre-approval" first. So I didnt complete any of my requirements before it was submited. After compleating all of the insurance requirements, I am in the appeals process right now, they have up to 30 days to give me an answer on my appeal.

What did your denial say? Maybe its something as simple as compleating an insurance requirement.

You know what I think the might be it but I dont know what to do I only have 30 days to appeal it I dont know what to do because the girl at my dr's office is so nice but i dont think she really knows what to do she said i have to do a medically necessary letter and so does she so i am so confused what do i do

Hmm... that is so weird!  Did your doctor give you any indication that you didn't meet the criteria?  BMI over 40, comorbidities, etc.? 

I'm so sorry.  I, of course, can't tell you what to do, but if it were me I would try to find out exactly what the criteria are to qualify with the insurance company, then contact my doctor.  I'm sure you can appeal, I think you just need to be armed with all the info you can possibly get.

Hang in there and keep on trying; I truly believe that if having surgery is the right thing for you, it will happen.  I'm sorry, it must be so upsetting!

You know what I think the might be it  that i might be missing something but I dont know what to do I only have 30 days to appeal it I dont know what to do because the girl at my dr's office is so nice but i dont think she really knows what to do she said i have to do a medically necessary letter and so does she so i am so confused what do i do