Insurance Appeal

triciaschweer
on 7/18/06 2:21 pm - Swanton, OH
First of all, I want to thank everyone who answered my last post. Today I recieved a letter in the mail responding to my appeal letter. With my insurance there is a direct exclusion policy for surgery for morbid obesity. I appealed the denial asking for them to approve to cure my other conditions with this surgery being a means to do that. They responded with saying that they are giving me the opportunity to meet with the appeals committee. Is this standard procedure or does this mean that they may actually be considering it? I hope so. I'm a little nervous though to meet with the committee as I don't look over 100 pounds overweight. I hide it well, but am definately there and I feel it everyday, every hour, every minute if you know what I mean. Has anyone had to meet with an appeals committee before and if so, what did they do in the meeting?
Sharyn
on 7/18/06 9:19 pm - Columbus, OH
Hi tricia I have no idea, but wanted to wish you the best of luck. Have you considered getting an attorney? Sharyn
Debbie B.
on 7/20/06 7:43 am - Painesville, OH
See what your paper says when you get your hearing date. My hearing was an over the phone one. I was at the local dept of Job and Family in a conference room on speakerphone. That was it.. It sounds to me like they wouldn't give you an appeal hearing unless there was a chance they would approve. Seems like if there was no chance they wouldn't take the time to even consider an appeal hearing..Good luck to you.. I know how frustrating this can be and it seems like it takes SOOOOO long for each step...
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