New drama with insurance
Karla S.
on 4/15/10 11:24 pm
on 4/15/10 11:24 pm
Just when I thought it wouldn't get more confusing...
SO, my ins (UHC) told my dr they would cover removing my band and replacing it with another band, but not converting to the sleeve because my policy had a "one per lifetime" clause.
Well, I got on the phone with our benefits person, who originally said the same thing, but then couldn't find anything in writing that said that. So then she calls me and tells me that she'd been on the phone with our co-ordinator at UHC who said that I didn't meet the "qualifications and conditions" for a revision to another type of surgery. Our benefits lady didn't have a list of those either, but said the ins co should have given them to my dr.
So I'm on the phone to my dr right now to see what the list is.
Anybody else have this nonsense going on???
SO, my ins (UHC) told my dr they would cover removing my band and replacing it with another band, but not converting to the sleeve because my policy had a "one per lifetime" clause.
Well, I got on the phone with our benefits person, who originally said the same thing, but then couldn't find anything in writing that said that. So then she calls me and tells me that she'd been on the phone with our co-ordinator at UHC who said that I didn't meet the "qualifications and conditions" for a revision to another type of surgery. Our benefits lady didn't have a list of those either, but said the ins co should have given them to my dr.
So I'm on the phone to my dr right now to see what the list is.
Anybody else have this nonsense going on???
Sounds like you benefits person is on your side....appeal appeal appeal...and YOU have the right to see those qualifications and conditions...you are the patient/member/customer.
I have Lipedema and Lymphedema. I also have a passion for Obesity and Health Insurance Advocacy.
Blog: born2lbfat.com Facebook: Born2lbFat Twitter: @born2lbfat
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