Re: Help!!! United Healthcare Denial

[Guest guest]

I am sorry to report that I received the same bad news

from UHC. I wrote a lengthy appeal letter, too, with

scientific evidence, etc. and they still denied it. I

got so angry and frustrated with them. Fortunately,

my husband switched jobs, and our new insurance

carrier covers the helmet. I know this doesn't help

you any, but I truely do understand your frustration.

We lost 2 precious months of banding due to waiting

for responses from them, just to get denied twice. My

suggestion is if it is at all financially feasible,

get the helmet now, and worry about the reimbursement

later. I know that others have fought UHC and have

had success. Hopefully they have some suggestions.

Good luck.

Mom to , 9.5 months, 1 week in Hanger helmet

--- jrmcgrath71 <mcgrathjk@...> wrote:

> We received a denial from United Healthcare. It

> indicates " orthotic

> appliances that straighten or re-shape a body

> (including some sorts of

> braces) " are excluded from coverage.

>

> Has any one had success in the appeals process with

> United Healthcare

> for this specific denial? Any help you could offer

> would be most

> appreciated.

>

> Thanks,

>

> Jeff

> Father to

> 8 months old

>

>

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[Guest guest]

I also had a verbal denial and when I called, I was told that since it is an exclusion, they would not offer an appeal. I may still try to go through the motions. They were clear that the policy is written and it is a contract between UHC and the employer, not the employee. They also said that they have never seen anyone "win" an appeal in this situation. Let me know if you do appeal and how it goes.

Help!!! United Healthcare Denial

We received a denial from United Healthcare. It indicates "orthotic appliances that straighten or re-shape a body (including some sorts of braces)" are excluded from coverage.Has any one had success in the appeals process with United Healthcare for this specific denial? Any help you could offer would be most appreciated.Thanks,JeffFather to 8 months old