My Appeal Was Turned Down
Well it is now official. My appeal was turned down and now I am appealling to the New York State Department of Insurance like I had to for the lapband. My insurance doesn't want me to get a revision to RNY. I just have to contact the doctor's office on Monday to find out if I should file a regular external appeal or an expedited one.
Everything is in legal language but I think that the expecited one is if I was going to die in a day or two without the surgery... I'm pretty sure that I need to do the regular external appeal...Lots of paperwork and lots of things to get mailed to our state capitol in Albany. Please wish me luck!
Everything is in legal language but I think that the expecited one is if I was going to die in a day or two without the surgery... I'm pretty sure that I need to do the regular external appeal...Lots of paperwork and lots of things to get mailed to our state capitol in Albany. Please wish me luck!
I cant BELIEVE you have to go thru all this!!! It is SO stupid... What insurance do you have?? I wish I could help you on the whole appeal info but I was lucky enough that I never had to do it,...I will keep positive thoughts!
"Don't expect.......Suggest." ......–The Edge
Lap Band 2/26/03---lost 80 pounds!
FAILED (Erosion/emergency removal) 4/4/07, Gained ALL weight back 8/29/07
Approved for DS 10/09/07 -
DS performed successfully 10/29/07
1st Hernia repair and vertical TT 1/15/09
2nd Hernia repair and small vertical TT 12/27/2010
HW SW CW GW 240 225 159 135 (5ft.2in.)
Lap Band 2/26/03---lost 80 pounds!
FAILED (Erosion/emergency removal) 4/4/07, Gained ALL weight back 8/29/07
Approved for DS 10/09/07 -
DS performed successfully 10/29/07
1st Hernia repair and vertical TT 1/15/09
2nd Hernia repair and small vertical TT 12/27/2010
HW SW CW GW 240 225 159 135 (5ft.2in.)