APPROVED! After 4th appeal

tammym
on 10/19/11 3:52 am - Portland, OR
Revision on 01/16/12
I'm in shock! Dr. Pattersons office just called and told me I have finally been approved.  It's been a very long wait! 
Linda_S
on 10/21/11 10:48 am - Eugene, OR
 Congratulations!

Success supposes endeavor. - Jane Austen

calimal
on 10/22/11 2:34 pm - Beaverton, OR
Happy for you. Took me 3 appeals , I just found out last week.  So happy for you

    5' 9.5",    HW 340,     SW 310        GW 165             
                

    
kayjay50
on 11/7/11 3:23 am - Castle Rock, WA
Do you mind if I ask who your insurance provider is?
tammym
on 11/7/11 5:37 am - Portland, OR
Revision on 01/16/12
I have Aetna.  WLS was not a written exclusion when I first started the process, but they have since revised some of there policies (including mine) to deny all WLS requests outright.
jannievt
on 11/18/11 1:50 pm
I have Atena as well and they have flat denied my claim as well. How did you get yours passed?
tammym
on 11/18/11 2:02 pm - Portland, OR
Revision on 01/16/12
It's a long story.

After going through the whole program, I was denied, appealed, and denied again.

Then  I wrote to the Oregon Consumer protection department, then appealed through ERISA, then through my surgeon again. 

The detailed story is on my profile. 

I have my final appt. with the surgeon on December 13th and surgery scheduled for January 9th. 
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