Question:
Has anyone been approved, then disapproved due to the employer's exclusions?

I was approved over the phone and then in a letter from Tufts. My doctor's office called to tell me it was a mistake (I confirmed this). It seems that my husband's company pays out for surgeries and they exclude this, not Tufts. Tufts did tell me to file an appeal, but gave me little hope. I can't stop crying.    — Laurie P. (posted on March 17, 2003)


March 17, 2003
If the letter came from the insurance company of approval, I would fight it. I worked medical review for 6 yrs and if we sent an approval by mistake in writing, we would have to honor it. This did happen to me, but it wasn't in writing, it was by word, so I couldn't fight it. GOOD LUCK!
   — ZZ S.




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