Unsure what to do...
This may not be legal given wls is covered and may be medically. I suggest you appeal with the insurance company first. If this is unsessesful, contact your state's department of insurance and challenge the 5 year provision.
I have had success with this apprach more than once. Each time I was denied a medically necessary procedure for bull**** reasons. Bottom line, it was expensive and they were hoping I would just go away quietly. Each time the insurance company backed down before the state made a ruling.
Also check out the insurance forum on oh. At one time there were a few very knowledgable participants. However, in my less than humble opinion, general site administration bull**** has driven the best of them off of these boards. The oh search feature does not fuction well if you need to focus on a specific issue. But with patience, you can review threads prior to mid 2009 and work backwards. You may find the threads with approaches others have used succesfully.
Another resort is financing. There are companies that finance medical procedures both here and abroard.
Best of luck to you. I hope you find that loophole that results in a fair deciaion.
I have had success with this apprach more than once. Each time I was denied a medically necessary procedure for bull**** reasons. Bottom line, it was expensive and they were hoping I would just go away quietly. Each time the insurance company backed down before the state made a ruling.
Also check out the insurance forum on oh. At one time there were a few very knowledgable participants. However, in my less than humble opinion, general site administration bull**** has driven the best of them off of these boards. The oh search feature does not fuction well if you need to focus on a specific issue. But with patience, you can review threads prior to mid 2009 and work backwards. You may find the threads with approaches others have used succesfully.
Another resort is financing. There are companies that finance medical procedures both here and abroard.
Best of luck to you. I hope you find that loophole that results in a fair deciaion.
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