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Re: APPEAL BOARD/tracy

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tracy, have you tried using the medically necessary argument?

consider it treatment of your co morbs, not the actual obesity?

just a thought.

mary y st.louis

itching to be switchin

> Has anyone ever had to go before an appeal board with their

insurance

> company and if so, what did you say on your behalf and what

> information did you provide to the board over and beyond what has

> been provided to them in the previous three appeal letters? I am

> basically basing my argument on the obesity/morbid obesity

> differences. My insurance company has an exclusion for any

treatment

> relating to obesity, including surgery. They don't say anything

> about morbid obesity. I have appealed three times and have one

more

> chance in front of the board. They stand by their exclusion saying

> that obesity includes all definitions of obesity including morbid

> obesity. Does anyone have any words of wisdom for me?

>

>

> Post-op 10 weeks.

> -60 lbs.

> Dr. Heap/Washington State

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