Letter for appeal
CHart6283
on 10/10/08 11:51 am - IL
on 10/10/08 11:51 am - IL
Does anyone have a sample of a letter that was used in appealing a denial? I'm not sure what to put in mine. I was denied for not having a bmi of >40 for 5 years. I called the insurance today and was told (again) that if you have a bmi of >35 with comorbidities it would be covered. I have 3 of the 4 comorbidities they listed. I want to appeal their denial, but not sure where to start. Thank you in advance for any and all help!
I'm also interested in some help with an appeal. I just got denied on Friday (October 10). I had completed a 6-month trial period of trying to lose weight on my own, weighing in at my Primary Care Physician's office on a regular basis during this time. I lost no weight, and in fact, gained 12 pounds during this 6-month period. They have now referred me to have ONE CONSULTATION with a bariatric doctor. My insurance coverage is with Aetna HMO. I'm really feeling hopeless right now.
RNY on 09/10/12