Question:
I was denied approval based on ins. co. rules but co-worker with same was approved.

both the co-worker and myself have same ins. same group # but she was approved and I was not.We both have same health ailments. what should I do next.? what ifthey deny my appeal? should I seek legal help?    — shawn B. (posted on August 24, 2002)

August 24, 2002
sometimes when you have the same insurance it depends what medical group you have do the teo of you use the same pcp? primary care phycian? if not see if you can switch to the same doctor even if it's only long enough to get insurance approval.
   — kimberly T.

August 25, 2002
Before you seek legal help, contact your state's Insurance Commissioner. Sometimes just copying them at the bottom of your appeal to the insurance company can work WONDERS. God bless you with success! CJ
   — cjtich

August 25, 2002
Are you close enough to ask your co-worker what she did to get approval? If she had to do something special, try and find out. Also, maybe she did appeal?? I would start with her if at all possible. Good luck to you.
   — Terri Z.

August 25, 2002
APPEAL IT!!! I HAVE FOUND THROUGH MY RESEARCH THAT A LOT OF INSURANCE COMPANIES DON'T APPROVE THE FIRST LETTER BECAUSE ONLY 25% OF THE PEOPLE THAT ARE DENIED ACTUALLY FIGHT THE INSURANCE COMPANIES DECISION. THINK OF ALL THE MONEY INSURANCE COMPANIES SAVE ON PEOPLE WHO TAKE THE FIRST ANSWER GIVEN. FIGHT FOR YOUR RIGHTS!! GOOD LUCK, SHERRY
   — SHERRY P.