Guest guest Posted July 14, 2000 Report Share Posted July 14, 2000 Ok People I need some help and pray someone out there can help me. Two weeks ago I got insurance approval via telephone, yesterday I finally got my letter and they have only approved me for 50% up to $4000.00. My letter came with a copy of a new addendum to our policy stating that is the max. dollar limit on WLS. Has anyone had this problem? Did you or can you appeal something like this? I need help, I am totally lost when it comes to dealing with insurance (I believe if insurance is not the antichrist, they should be).haha If I cannot change their minds, I cannot have this surgery (or any WLS) I have a $2000 deductible and then my 20% is wiping us out as it is. What is really confusing me is that the letter says they will only pay 50% up to $4000, but Dr R is in network for me as is Durham Regional and my policy says in network is 80/20. How can they only pay 50% if he is in network? I have called and talked to 4 different people and each of them have given me a different story. One lady even told me that I was actually paying 70%. Where do I go and what do I do? Helpppppp ! Gwen Still waiting !!!! ......................................................... iWon.com http://www.iwon.com why wouldn't you? ......................................................... Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.