small group policy denial, HELP!!!
I have a small group policy with United Healthcare in Florida and trying to get the RNY surgery. Has anyone gotten approval through United while having a small group policy for this surgery? They will NOT cover anything that is weight related, even with 4 letters of medical necessity. Has anyone found another way around this? On my appeal, I am going to TRY (and lots of praying) to get the surgery approved by using the PCOS, diabetes, sleep apnea and GERD as the reason I need the surgery. The seminars I have attended stated that the PCOS (based on many studies) is resolved 100% and the others are resolved at 85% or better. Any suggestions are greatly appreciated.
Thanks,
Angie
Thanks,
Angie