Question:
I FOUGHT THE INSURANCE COMPANY AND WON!!!!!!!!!

I am in tears as I write this. First I want to thank all of you for your words of encouragment, support, constructive criticisms and concerns. I was denied coverage for my daughter because of her age...she is only 13. I fought and won...I had my daughter write a letter stating that she understood that this is a major life change and what her responsibilities are after surgery. I also had her psychologically evaluated and a report sent to the insurance company, I had her pediatrician send a letter documenting her years of struggle with this weight and I had her tested for sleep apnea, which thank God turns out to be negative. THEY APPROVED HER. I also found out that as of December 31st my company will no longer cover the surgery...so I sent the insurance company a certified letter stating that if we comply with all their request for medical necessity they will give us a conditional approval under the current contract not the new one.    — MARY R. (posted on November 22, 2000)


November 22, 2000
Dear Mary...wow! One more thing to be grateful for this Thanksgiving. I am so happy for you and for your daughter!!!!
   — Roseann M.

November 22, 2000
What a wonderful gift for the holidays! Congratulations on winning your struggle. I'm just beginning with mine; my insurance company dendied my first appeal yesterday. You and your daughter will be in my thoughts.
   — Lidya W.

November 22, 2000
Mary, thank you so much for sharing your wonderful news! I am so happy for you and your daughter...God Bless you both!
   — Allie B.




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