2nd Denial Letter

I got another letter from my insurance company denying the surgery. It said that they had forwarded the information to an outside review and that the information that my doctor had provided was not deemed enough for Medically Necessary. So.........I guess it's on to the Ohio Insurance Board or whatever they are called right?

Don't give upTami, that's what they want. Just keep on going. I got approved on my 3rd try. Sharyn

Tami, Keep your head up. and keep at ityou cant give up. Send the papers to the Ohio Insurance board. Take Care Barb

Dont give up Tami !!! I got mine approved on the third try two and a half years after the date of my first application. Get copies of what the Drs office sent to the insurance companies. Find out if they did in fact send all the information that they could have. If there are other Drs involved in your care, have records sent from their offices too. I found out after my second denial that not all my records were getting to the insurance company so they didnt have the complete picture of my health issues. My file that I had copies of ended up being about 4 inches thick. LOL Just dont give up.. Keep writing letters, making phone calls, and sqeek as loud as you possibly can. Hugs, Laura PS.. My friends and family members wrote letters on the quality of my life and why they felt the surgery would be right for me. The hearing officer in my case said it was the letter from my young son that helped him to decide to finally approve it. He wanted his mama to be alive a long time, not be in the hospital and on oxygen so much and ride roller coasters with him.

Tammy, Don't give up!!! I too, got approved on the 3rd try. Does your insurance have a formal policy? If so, print it out and make it work for you. If you have other doctors, GYN, Family Doc, Orthoped., Chiropractor, etc, ask them to write letters on your behalf. And write a letter of appeal of your own as well, telling them your history, your physical complaints and factors that are making your quality of life very poor and respectfully insisting that they approve the procedure. I'm 6 days post-op, and I wouldn't be recovering from the surgery right now, on my way to a new life if I hadn't have pulled out all the stops. The other folks are right - giving up is exactly what they hope you'll do - so just don't! Keep up the good fight! Best of luck!!! Karen C.

Tami Hang in there girl, don't give up!!!! We are all behind you!! Josie

Medical Mutual denied me twice also. Just keep fighting and never give up. Your doctor should be able to help with a letter to them. When they sent me a denile and told them that I needed ongoing therapy, they filed a formal complaint with the state and was then approved. Good Luck! Richard