Please, all Texans, and otherwise knowledgeable persons,
Denied after submission of huge, and thorough submission of packet (letter of medical necessity 15 pages long and documented in immense detail). Ready to go forth to appeal exclusion that talks about "weight reduction programs, services, and equipment, even if physician says is necessary,and even if prescribed by physician." May not be able to get around it -wouldn't you know it, our open enrollment began at work yesterday July 15, 02 and runs through the end of the month. Scott and White Health Plan is the only one with the actual statement that they will cover, but, I don't remember seeing either of the two Doctors on this site that perform the surgery. Has anyone heard of and/or can give me some information on Dr. Richard Symmonds and Dr. Joaquin Rodriequez?? Dr. Rodriequez is ringing a bell, but I want to hear sound feedback before I even consider changing Insurance, and beginning again, even though the new plan will more than likely pay. Thanks so much. Pam Cerda
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