SHOULD I BE SCARED TO FILE A COMPLAINT WITH THE INSURANCE COMMISHIONERS' OFFICE?

BCBS OF GEORGIA DOESN'T WANT TO APPROVE ME BECAUSE I CANT PROVIDE proof of all my COMMERCIAL diet programs in the past. I have spent the last 2 days making phone calls.. Weight Watcher's doesn't keep records of past customers, Quick Weight Loss is charging me $35 and then I have to "wait on corperate" to send the proof... Jenny Craig and Tops were easier but what about OA? Does it even count? It's annonymous, I can't prove I went there! I have medical records of doctor supervised attempts and a very detailed diet history of my whole life (44 years) but apparantly this is not good enough! All my policy says is they will cover this if it is MEDICALLY NECESSARY, not if someone in the utilization management department feels like I have tried hard enough! I find this appalling! I have contacted the office of my state's insurance commishioner and they are sending me forms to file a complaint against my insurance company. Anybody out there done this? I am worried it will only make BCBS mad and they will delay more or just deny me completly, but I don't think this is right!! Do the insurance companies make heart patient's PROVE they really did have a blocked artery?? Another thing, I know someone else posted about this recently, but what is up with the insurance companies not letting US talk to the Medical review department? I was given the nurse's name who has my file but was told that she will not contact me at all. They only deal with the doctor's office. I don't understand this, I feel they should communicate this directly to me so I will know exactly what is required. Sorry this is so long.... any input, please!!! Thanks!

We greatly appreciate your interest in helping us build our Q&A database. To discourage vandals from posting garbage, however, we require people to register before posting.

You must be logged in to post an answer. Click here to log in.