Guest guest Posted May 5, 2000 Report Share Posted May 5, 2000 Oh Sherry, I'm so sorry. Even my insurance company says they can change the plan in the middle of the year if they wish (either add/subtract coverages--usually subtract) all they have to do is send you the addendum or another booklet. It's wrong, but that's they way they are. fg At 09:11 PM 05/04/2000 -0000, you wrote: >My insurance is Healthkeepers. When we switched to Healthkeepers in >1996, it covered weightloss surgery. (I found my old insurance >manual.) Now it is excluded when I need it. How can they CHANGE >coverage like that???? Why wouldn't I be " grandfathered " since the >change happened AFTER I joined. It doesn't seem fair. I was >overweight then, but I was trying diets, etc. > >Sherry >VA >pre-op > > > >------------------------------------------------------------------------ >eGroups eLerts >It's Easy. It's Fun. Best of All, it's Free! >http://click.egroups.com/1/3863/1/_/453517/_/957474698/ >------------------------------------------------------------------------ > >This message is from the Mini-Gastric Bypass Mailing List at Onelist.com >Please visit our web site at http://clos.net >Get the Patient Manual at http://clos.net/get_patient_manual.htm > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 5, 2000 Report Share Posted May 5, 2000 Oh Sherry, I'm so sorry. Even my insurance company says they can change the plan in the middle of the year if they wish (either add/subtract coverages--usually subtract) all they have to do is send you the addendum or another booklet. It's wrong, but that's they way they are. fg At 09:11 PM 05/04/2000 -0000, you wrote: >My insurance is Healthkeepers. When we switched to Healthkeepers in >1996, it covered weightloss surgery. (I found my old insurance >manual.) Now it is excluded when I need it. How can they CHANGE >coverage like that???? Why wouldn't I be " grandfathered " since the >change happened AFTER I joined. It doesn't seem fair. I was >overweight then, but I was trying diets, etc. > >Sherry >VA >pre-op > > > >------------------------------------------------------------------------ >eGroups eLerts >It's Easy. It's Fun. Best of All, it's Free! >http://click.egroups.com/1/3863/1/_/453517/_/957474698/ >------------------------------------------------------------------------ > >This message is from the Mini-Gastric Bypass Mailing List at Onelist.com >Please visit our web site at http://clos.net >Get the Patient Manual at http://clos.net/get_patient_manual.htm > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 5, 2000 Report Share Posted May 5, 2000 Sherry I have Healthkeepers too. Already denied once ,but I'm appealing Igot coverage in 08/1/96 Did they cover it then? Marilyn Cheely in Va Insurance Question? > My insurance is Healthkeepers. When we switched to Healthkeepers in > 1996, it covered weightloss surgery. (I found my old insurance > manual.) Now it is excluded when I need it. How can they CHANGE > coverage like that???? Why wouldn't I be " grandfathered " since the > change happened AFTER I joined. It doesn't seem fair. I was > overweight then, but I was trying diets, etc. > > Sherry > VA > pre-op > > > > ------------------------------------------------------------------------ > eGroups eLerts > It's Easy. It's Fun. Best of All, it's Free! > http://click.egroups.com/1/3863/1/_/453517/_/957474698/ > ------------------------------------------------------------------------ > > This message is from the Mini-Gastric Bypass Mailing List at Onelist.com > Please visit our web site at http://clos.net > Get the Patient Manual at http://clos.net/get_patient_manual.htm > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 24, 2000 Report Share Posted May 24, 2000 Cathy, I called and spoke to my insurance co. as soon as I got my PCP approval. They told me it would take a week to get an answer. I sent my patient information in on the first of May. When I got my letter from Dr. R's office I calcualted a week from that date and started calling. The receptionist was kind enough to give me the name and ext. of the utilization review nurse that was responsible for my form. I would call her every day and usually twice to find out when I would get an answer. I was denied once for requesting out of network and then when they found out no one else did this they reconsidered. Once they requested more information. I was able to fax info I had from the manual and they approved it last friday. My insurance is Free State a subsidiary of Blue Cross Blue Shield. But, the short answer is start calling now. Darlene CMo6331945@... wrote: > Hi Everyone, > I've still not heard a peep from my Insurance company and my > husband has said he will call them, so what I need to know is: > > 1. What department does he need to get to for info? > 2. If they say they haven't received anything yet what should I do? > > I sent the patient info in on the 2nd of May, Barbara emailed me on the 12th > that it had been sent to my Ins. Co. but she didn't tell me what date it was > sent, so am I jumping the gun here and maybe should be a little more patient > and wait or should I tell hubby to go ahead and start hounding them. Thanks > for you're help!!!!! > > Wanting > to be on the other side, > Cathy in Lenoir, NC > Patient Info Emailed on 5/2/00 > BMI 42 > " A Journey Of A Thousand Miles Begins With A Single Step! " > > ------------------------------------------------------------------------ > eGroups > free, easy email groups > Start a new email group today at > http://click.egroups.com/1/3949/2/_/453517/_/959134771/ > ------------------------------------------------------------------------ > > This message is from the Mini-Gastric Bypass Mailing List at Onelist.com > Please visit our web site at http://clos.net > Get the Patient Manual at http://clos.net/get_patient_manual.htm Quote Link to comment Share on other sites More sharing options...
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