Time Frame for Hearing from Ins. regarding Denial Letter

Insurance Denial - Anybody out there have TriCare standard & have the op. denied because of being a "lightweight"? We've sent in the rebuttal, & it has been in their hands a week, but I have heard nothing. Anybody know how long it takes to hear from them on a rebuttal to a denial letter? Other than that, I am ready to go. All tests have been completed. SL

Shirley, I was denied for the same reason. I have Anthem PPO. I found out I was denied on 9/28. Kristine told me that it takes a good 2 weeks for them to write a letter of appeal. On 10/20 the appeal letter was sent to the insurance. Once I knew that, I called the insurance every other day. On 11/2, the insurance received the documentation that showed I had comorbidities AND that I had a qualifying BMI of >35. The same day, they approved my appeal. Kristine sends you the appeal letter that she sends to the insurance. I have to say, it is an AWESOME appeal letter. It is torture waiting. I know! I felt like I was bothering Kristine and the insurance but part of me really didn't care. I was anxious and wanted to be approved...NOW. So, my suggestion is to call the insurance. Make them know your name. Don't worry about bothering them, that is their job. I also know that an appeal can take 30-45 days once they receive it. It doesn't hurt to be involved in the process. Call the insurance!! Good Luck to you. I know exactly what you are going through.

Thanks for the encouragement, Mimi. Not knowing is the hardest part. I am mentally ready to go. I'll call them Monday. SAL

I hate to mention this but...they may be closed on Monday for Veterans Day. I work for an insurance company and we aren't closed but it is possible. I would try anyway. I could be wrong.