Has anyone filed a complaint with their State Insurance Commission?
Along with my second denial letter, came a list of guidelines my insurance company uses to approve/deny gastric bypass surgery. They are very inconsistant. One area state co-morbid conditions that you need to have to be approved. Three of these same conditions are also listed in the section that if you have any of these conditions, you are considered an excessive anesthetic risk. The three conditions are diabetes, pulmonary insufficiency, and unstable blood pressure. I work for a hospital.
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