Question:
Help I need a sample of an appeal letter for my HMO
The PCP who suggest I have WLS and would have helped me through the process has left the practice. She explained to my new PCP of my needs and is also willing to help me. Unfortunatelly, the letter she wrote to the my HMO is not strong enough. Is there an example for me to show her? Please HELP. — Elizabeth P. (posted on May 6, 2004)
May 6, 2004
MY DOCTOR WROTE A DETAILED LETTER FOR MY APPEAL. HE PUT EVERY SINGLE
COMPLAINT I HAD THAT CONTRIBUTED TO MY WEIGHT. THEN HE WROTE ALL THE DIETS
I HAD DONE, AND MY WEIGHT FROM THE TIME I WALKED IN HIS DOOR UNTIL THE DAY
I GOT THE LETTER THAT INSURANCE DENIED ME. AND HE TOLD THE INSURANCE
COMPANY IN THE LETTER IF I WAS NOT A CANDIDATE FOR WEIGHT LOSS SURGERY THEN
HE DID NOT KNOW WHO WOULD BE. I WILL LOOK FOR THE LETTER, IF YOU NEED MORE
INFO. EMAIL ME PRIVATELY. HOPE THIS HELPED. KELLY LONEY VBG 4/2004
— LADYLONEY
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