Appeal Letters

Deborah
Gonzales-Trimble

on 7/12/03 5:35 am - Atlanta, GA
I have been turned down by my insurance carrier Cigna PPO. They are stating it is not medically necessary for me to have this surgery. I am a 42 yr.old female Weight 248 lbs. Height 5'1" BMI 43 Illnesses- Diabetes, High Blood Pressure, Sleep Apnea, Restless leg syndrome,Foot problems, Extreme fatigue, acid reflux, dizziness. I can't understand why they would not approve me. I have several doctors appointmnets during each month. If they would approve my surgery I could probably eliminate all those on going problems. I have been obese since the age of 14 years old. when I was diagnosed as being moderately obese. I have dieted for all these years. Yes I lose weight but cannot keep it off. I have recently asked all of my physicians to write a letter with medical documentaion stating why they feel this surgery would be good for me. For one thing it puts diabetes in remission. I need help in finding a standard appeal letter to submit with my medical letters of recommendation from my physicians, as I'm going to appeal this myself. Is there any help out there? Please e-mail me at [email protected] Regards, Deborah Gonzales
Evelyyyyyyn
on 7/15/03 11:05 am - GREENBACK, TN
Deborah there is a very gfood appeals letter on this site, I believe it is under insurance woes. It covers everything you would just need to take from it what best suits your needs to appeal the insurance. Good Luck!!
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