Question:
Question about Mutual of Omaha?
My Mutual of Omaha policy specifically excludes surgery for morbid obesity. Has anyone else had any experience with them? — Julie D. (posted on April 26, 2001)
July 2, 2002
Hi:
I am in the same boat as you with Mutual. Have you had any luck?
— Micheal B.
July 13, 2003
Yes, I also had been denied coverage from Mutual of Omaha. It was a very
distressful situation, but I have to say that after my first appeal, they
approved coverage. It is very important to be persistant. They need to
understand that you are serious about getting coverage and that you are not
going to just "go away". You are paying them for a service and
it is their responsiblity to live up to their end of the bargin. It is
also important that YOU understand that YOUR getting approval is only
important for you. The insurance company IS NOT YOUR FRIEND. Your
approval is nothing to them. It is only important to you and those that
care about you. They don't. For them, this is business. For you, it is
personal.
Request that your doctor support your appeal by providing more indepth
information to Mutual. It would also be nice if he or she called and spoke
with them. My doctor was very supportive and did both of those things.
That really made a difference. And last, but not least, read the most
current Yearly Brochure from the insurance company and ensure that you meet
ALL of the requirments. If you don't have a manual copy available, there
is a copy on their website. If you do this, there is no way that they can
legitimatly deny coverage. Sometimes you have to go the "extra
mile". I contacted the FDA in reference to the LAP procedure because
that was part of their initial denial. Don't be afraid the challenge their
decision.
— Ce-Ce P.
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