Not Approved

binky
on 5/8/07 10:43 am
Jasmine: Appeal- the surgeon will know what to say- and can help you- it will be fine- I know that this happens but when it does it is devistating. Here's a hug for ya! Vicki
javajane
on 5/8/07 12:34 pm - IN
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!
jamiecatlady5
on 5/8/07 11:32 pm - UPSTATE, NY
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!"
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