Denial from insurance company!!

momof2b1g
on 6/19/09 5:53 am - Warwick, RI
I was denied. I am going to appeal but it is a long road. One of the reasons is that the RNY is just as good and it is BUT I can't have that procedure due to health reasons. SO....here I go on the road to appeal #1.
I'm sure I will get it in the end but right now I don't see a light at the end of this tunnel.

Hugs, Tiff

Johanna !
on 6/19/09 8:58 am - Formerly known as jdcRI, RI
what procedure do you want?
Johanna - like Joe-on-uh, or that movie, Juwanna Man!  


 

        
sandpan
on 6/19/09 3:28 pm - Warwick, RI
Tiff ~ Hello again.  Keep on the road.  My brother has been facing the same appeal process, so can understand this battle.  Will hope the end of your tunnel isn't far off.
~ Sandy

momof2b1g
on 6/20/09 4:06 am - Warwick, RI
I'm trying to get the VSG.
RobynJC
on 6/22/09 2:57 am

Hello,

Both my husband and I went thru an insurance denial.  We did finally get banded but it took us almost a year.  I know that it is tough to believe right now, but in the end it will be worth it.  And keep trying.

If I can give you any suggestions they would be to call-call-call the insurance company and keep talking to people until you find someone who is willing to help you.  There were days that I called 2 or 3 times until I got someone to help.  If you can, go to your HR team and see if they can help you with dealing with the insurance company.  Also, have all of your doctors write a letter for you signifying the MEDICAL NEED to have the surgery.  (the term "medical need" is key there, it can help to sway the insurance company)

It will be frustrating at times and you will want to scream (if it helps go for it)  but this is something that you are doing to make your life better and it is worth it. 

Good luck, I will keep my fingers crossed for you.

Robyn

 

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