BC/BS of Alabama
Well I just need information. I have been fighting an exclusion on my policy. I have submitted letters from all my doctors along with my personal letter. In addition my employer also requested that they lift and or set aside exclusion to allow me to have this surgery upon medical need. Last Friday I went in person to get an answer from BC/BS. I was informed that it was denied. Now I want to appeal decsion and since I am doing this on my own, I need any input you all could give me. It is like I told them that you now cover my eyes and it is excluded but you cover now cause I am a diabetic. This is same princpal here, I am very frustrated in the play on words that they use to deter you from appealing etc... I have been working on this and it is imperative I get this procedure done. My doctors tell me that I will lose the use of insulin and since I am insulin resistant. I am on this huge ****tail of insulins to just keep it in check. I could go on and on with issues. Any advise on my approach from here and how I may get this accomplished it would be greatly appreciated.
This is some information from our site about appealing exclusions. We deal with BCBS AL a lot (nasty people I'm sad to say!) but they can be defeated . . . there's especially powerful data when it comes to bariatric surgery and type 2 diabetes
wlsappeals.com/common-bariatric-denials/contract-exclusions/
Let us know if we can be of further assistance. Good luck!
wlsappeals.com/common-bariatric-denials/contract-exclusions/
Let us know if we can be of further assistance. Good luck!
Walter Lindstrom, Jr.
[email protected]
LINDSTROM OBESITY ADVOCACY
WWW.WLSAPPEALS.COM, 1-877-99-APPEAL