Not Approved
Fight Fight Fight!
(okay, the nice word is APPEAL!) Just don't give up or give in. I haven't heard from mine yet, my physical is tomorrow, but I can tell you this...we have fought with this most of our lives. DOn't let some corporation that knows nothing about you, sabotage or squash your dreams
. Appeal and don't stop til it's done. If I understand the law, if your BMI is high enough, they have to approve you. Worst case scenario: you have to wait 6 months, but you'll be lighter and in healthier state for your surgery, which will help you heal all the faster
. Best case scenario- eand they approve
! Go for it and don't give up, Jasmine!
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Jasmine;
What was the adenial due to, what is the documentation needed or what is the criteria you need to meet? Sometimes it is merely they didn't get all the paperwork, do u have a copy of your policy and the criteria for surgery? If not call your insurance and ask for this ortionof your policy in regards to requirements for bariatric surgery. Also know your appealprocess, sometimes you get a limitd number so when u appeal make sure al your ducks are inorder so u don't use them up!
Here was an articel I read recently on this...
http://www.bariatricedge.com/dtcf/pages/professional2.htm?pgn=1&sgn=2
Laura Speaks Out On:
Understanding Insurance Companies' Processes
Meeting Insurance Criteria
Appealing a Denial
Learn More About Appealing a Denial
Meet Laura
PS dont forget the legal assist many use also!
LAWYERS FOR WLS
Obesity Law & Advocacy Center Established by Walter Lindstrom WLS pt/attorney
http://www.obesitylaw.com/
Mail Address: Obesity Law & Advocacy Center, 1392 East Palomar Street, Suite 403-233, Chula Vista, CA 91913
Telephone: 619.656.5251 FAX: 619.656.5254
email: Walter Lindstrom [email protected]
email: Kelley Lindstrom [email protected]
~~~~~~~~~~~~~~~~~~~~~~
Stacy Posner WLS/attorney
www.wlsadvocates.com
350 Broadway Suite 405
New York, N.Y. 10013
Fax (212) 343-0712
Email: [email protected]
1-866-733-4WLS
http://www.obesitylawyers.com/
Gary Viscio WLS pt/attorney
Gastric Bypass on July 1, 2003
145 Willis Ave
Mineola, NY 11501
Take Care,
Jamie
Lap RNY 10/9/02
Dr. Singh
320/163 5'9'' (lost 45 before Surgery)
Plastics 6/9/04 & 11/11/2005 Dr. King
"Being happy doesn't mean everything's perfect, it just means you've
decided to see beyond the imperfections!"