Help me please I cannot stop crying.

[Guest guest]

I received a letter in the mail today from my insurance company and they

denied me. The reasons they said were

1. Procedure is not typically covered by medical benefit plans.

2. Please provide the clinical information requested. (What is that? I

have no idea and nowhere in the letter does it explain it)

Does anyone have any advice to offer me? I know I will have to call them on

Monday but how do I make it until then. My heart is broken. I guess they

would rather see my child motherless and my husband a widower before they

realize how stupid their decision was. Lara

[Guest guest]

Lara, Get back in the sadle. You have but scratched the surface. Get ready

to present more info. Appeal, appeal, appeal. I have a lawyer and am sueing

the blankey blank blank insurance company. Wipe away those tears and be

determined to get this done!!!! in Missouri

[Guest guest]

Dear Lara,

I'm so sorry. It sounds like a stall tactic because it looks like a loop

hole with the

" typically " phrase. I'll bet you can get approved on appeal. JUST DON'T GIVE

UP!!!

Fight the jerks with all you've got.

If this procedure is not " typically " covered by medical benefit plans

then why is it so many MGBers have been covered by their medical benefit plans

even when weight loss surgery was a non covered item unless proven medically

necessary? Obviously that is a very lame excuse. They need to come up with

something better than that!

As far as clinical information.....send them eveything you have.

Research obesity and weight loss surgeries on the net. There is so much ammo out

there but you probably already know this. I have printed everything I came

across just in case I needed it for just this reason. If you want copies let me

know and I will send it to you.

DON'T GIVE UP!!!!!!!!!!!! GET MAD!!!!!!!!!!!!!! You are not alone.

Best Wishes,

Genz

817/ 577-0919

LaraAkin033100@... wrote:

> I received a letter in the mail today from my insurance company and they

> denied me. The reasons they said were

> 1. Procedure is not typically covered by medical benefit plans.

> 2. Please provide the clinical information requested. (What is that? I

> have no idea and nowhere in the letter does it explain it)

> Does anyone have any advice to offer me? I know I will have to call them on

> Monday but how do I make it until then. My heart is broken. I guess they

> would rather see my child motherless and my husband a widower before they

> realize how stupid their decision was. Lara

>

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