Need prayer- Ins. says I won't comply
My insurance company denied my first letter. I spoke with the med. review manager and he said he would review my file. My surgeon's office called and said that the ins. co. wanted me to redo my 6 months of Dr. supervised diet , and work with a nutritionist and my pcp. The ins. co also said they didn't think I would be able to comply with the lifestyle change after surgery. My psych eval even commented that I was ready and a good canidate. The surgeon's office thought it might be something to do with the nutritionist's letter sent by a branch of their office.. Neither my surgeon's office or myself read the letter send by the nutritionist. Even the surgeon's office thought a redo of the 6 month diet might be futile if the ins. co.just comes back with the line that I wouldn't be able to comply. I am at loss for what to do next- please pray that I would have clarity. Should I self pay, should I retry, should I go in our out of the country. What, what, what- Thanks for the support and prayers and suggestions. In Him, Kim M.
Kim,
I totally understand what you are going thru. I was denied also by my ins. and said I needed to do another 6 months, I had letters from my pcp and my diet journal and more, I think they just automatically throw that answer out so they dont have to pay. I have been fighting for over a year and am getting ready to appeal soon. I will keep you in my prayers and hope you do the same for me.
God Bless Regina
Hi Kim,
Please don't give up. Stay in prayer about this. The insurance companies want you to give up. They will make it as hard as they can for you, because they don't want to pay for this lifesaving surgery. What kind of insurance do you have? I would also get a copy of the letter your nutritionist sent in. That may or may not have played a key role. Best wishes to you. You are in my prayers.
God bless you,
Annette
Hi Kim,
Stay in prayer and do not give up. I too was turned down by my ins. company then I went to work for a major ins company (that i knew some of the employees had ELS paid for by their employee coverage well...wouldn't you know it the month I became eligible they stopped covering the surgery...so....
I got a different job with different insurance and was approved on the first attempt. I figured it was God's perfect timing at work. I was not supposed to have it sooner. Research the letter and if you have do redo 6 months start as soon as possible. This will show the ins company you are serious and do not be afraid to seek legal advocacy if you are denied again. Insurance companies goals are to get out of paying claims...the bottom line is the dollar so be persistant, they would rather you give up DON"T
I will be praying for you and please keep us posted.
Samantha