Question:
Copies of Appeal letters sent to TriCare Prime Insurance?
I was denied for the plastic surgery because they considered it cosmetic. I have lost 122 pounds and I feel it is necessary to have to avoid future problems with the excess skin. Please any samples of letters I could use for my appeal I would appriciate it. — carmineduncan (posted on April 19, 2005)
April 20, 2005
I would love a copy as well.
— lostlittlerobot
April 21, 2005
Good luck getting approval, I'm 1 yr. po TT,adominaplasty [bad spelling]
and breastlift/reduction. I was denied, they said it was cosmetic also.
So we did self pay and have spent the last year appealing, but with not any
luck. So I have filed now as out of network, that's was suggested I do the
last time I talked a Tricare Rep. Haven't heard anything back from the
Hospital yet. Its been 3 wks now. Good luck on your appeals.
— Janet M.
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