Question:
Has anyone had experience with WLS approval from Aultcare?

I have primary insurance through Aultcare, and secondary coverage on my husbands policy, which is ALSO Aultcare. I am looking for any success/failures anyone has had in dealing with them for WLS    — Carlene M. (posted on November 3, 1999)


November 9, 1999
I WAS DENIED FIRST TIME. IT HAS BEEN IN APPEAL SINCE OCT 8. I WAS TOLD YESTERDAY IT HAS BEEN REVIEWED AND IS NOW IN THE HANDS OF THE MEDICAL DIRECTOR. I DO NOT HAVE HIGH HOPES OF HAVING APPROVAL EVEN THOUGH I HAVE DIABETES AND HIGH BLOOD PRESSURE, BAD KNEES ETC. MY ENDOCRINOLOGIST WROTE TWO LETTERS FOR ME AND MY ORTHOPAEDIC DOCTOR IS IN THE PROCESS OF WRITING ALSO. GOOD LUCK TO YOU.
   — CINDY L.

November 19, 1999
11/19/99
   — CINDY L.

November 19, 1999
11/19/99 I RESPONDED ABOUT A WEEK AGO. I JUST FOUND OUT TODAY MY APPEAL WAS DENIED. I AM SO UPSET BUT I WILL NOT GIVE UP MY FIGHT FOR A NORMAL LIFE!
   — CINDY L.

December 20, 1999
12/20/99 I HAVE SWITCHED TO CLEVELAND BARIATRIC, DR SCHREIBER. I AM GOING SELF PAY BECAUSE AULTCARE WILL NEVER APPROVE. IF YOU MUST SELF-PAY CONTACT DR SCHREIBER. THE STAFF IS GREAT AND HELPFUL. A LOT OF DRS WILL NOT ACCEPT SELF PAY SO IF AULTCARE DENIES YOU KEEP HIM IN MIND. GOOD LUCK TO YOU.
   — CINDY L.




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