Re: Calling for Help

[Guest guest]

Dear Janice,

I'm sorry I can't help you. I am fighting the same

battle with Cigna Healthcare of Ohio. If you come

across any really good ideas on how to argue the out

of network problem, let me know! And I'll keep an ear

to the ground for you too. Best of luck and keep

fighting. Angel

--- Finch rfinch@...> wrote:

> Hello,

> PLEASE,I am asking for help to anyone who has

> or knows of someone who

> has been approved for the DS surgery through

> Pacificare AND anyone who has

> had or is seeking a revision to a DS from VBG or

> RNY. Please email me

> privately at rfinch@... so that the

> support group wont have the

> extra letters. I am trying to compile a list of

> patients that have been

> approved for the DS procedure to help support my

> claim that Pacificare does

> in fact cover this surgery. Also I need the list of

> patients who have or

> has had revision to a DS from VBGs and RNYs to use

> as ammunition to prevent

> Pacificare from giving me these surgeries (which are

> in network) instead of

> the DS (out of network) which I want. The more

> names the better. For those

> with revisions I would appreciate, if possible, your

> letters giving some of

> your problems and why you sought revision to DS so

> that I may make copies of

> these letters to add weight to my position. If you

> would prefer for me to

> use your name only that would be fine. I am at my

> third level of appeal

> and am in great need of this ammunition. The

> biggest problem I face is

> having to go out of network so if anyone has any

> ideas to help with getting

> insurance to help approve out of network I would

> love to hear about them.

> If I am successful I have all my letters I have used

> for my doctor and

> insurance company that I will be most happy to share

> with everyone. I

> figure no one wants to see them if I lose the fight,

> but I must keep a

> positive outlook.

> I thank you for helping me.

> Janice in Texas

>

>

>

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