Anyone ever fought an exclusion and won?

buffs76
on 12/20/07 1:44 pm - Inver Grove Heights, MN
theres an exclusion with the company i work for.  is it worth fighting? honest to god if i don't get this surgery i will die by 30 and i'm 28 now  
Connie D.
on 12/20/07 9:43 pm

Yes, there are people on here that have fought and won.I didn't have an exclusion. Don't give up....it will happen. I had to fight every step of the way too.

Good Luck.....I hope it all works out for you...keep fighting!! connie d  3D Elf With Candy Cane 

Diamond Girl
on 12/20/07 10:46 pm - Ham Lake, MN
I have that situation as well as I carry my medical insurance though hubby's work and his employer excludes it. In our case, we were told the company has never reversed their decision so we felt it was not worth the fight or stress. For me, I had the option to open enroll in my company's insurance and so I am pursuing that instead. Do you have a spouse you can take insurance through and which might cover WLS? I know that may not offer you the hope you were looking for, but if you feel that there are any loop holes in how the exclusion is written, then I say GO FOR IT! Your surgeon's office should be able to help you with an appeal, too. Best wishes!
PamelaK
on 12/20/07 10:51 pm - Osceola, WI
Hey buffs.... I would go check out the Insurance forum.  I think there are people on there that can help with specifics.  I know they have people that have posted sample letters to insurance and all of that. Sure hope you are able to get around the exclusion. Take care of you!
Hugs And Kisses Pam   






doodlebug
on 12/21/07 8:50 am - MN
I fought for two years and won, and mine wasn't an exclusion!  I did hire a lawyer who helped me ALOT! 
Blessed are those who can give without remembering
And take without forgetting.


Don't take life too seriously; No one gets out alive.

May You Fly with Eagles
Run with Wolves

Walk with Buffalos

and

Always be my Friend


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