Guest guest Posted November 3, 2004 Report Share Posted November 3, 2004 HELLO, WELL THE DR. OFFICE CALLED AND SAID THAT THE INS. CO. DENIED MY SURGERY. WELL FIRST I CRIED! NOW I AM JUST PLAN PISSED!!!!!!!!!!!! I HAVE ALREADY STARTED THE APPEAL PROCESS. I HAVE CONTACTED ALL 4 DR.'S AND AM GETTING A LETTER FROM EACH ONE AND THE PROFF THAT I NEED THIS SURGERY. I ALSO HAVE SEND THEM A COPY OF THEIR OWN POLICY SHOWING WHERE IT STATES THAT IT IS AN EXCULSION UNLESS MEDICALLY NEC. ISN'T THAT A HOOT!!!! APPERANTLY THEY FORGOT THAT PART OF THE SENTENCE!. WELL I AM GOING FOR NOW! HOPE THAT YOU ALL HAVE EASIER TIMES! HERE'S HOPING TO BE A BIG LOSER ONE DAY!, APRIL Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 4, 2004 Report Share Posted November 4, 2004 April go to your states dept of insurance regulation and complain to them. I live in Illinois and had Blue Cross Blue Sheild at the time and they denied me for the Lapband but said they would cover the by pass, so I switched doctors and when about haveing the tests done for the bypass and then the insurance said that they werent gonna cover that either. I complained to the state and the insurance company was checked out and they told that state I had it wrong and that of course they are going to pay. Go figure. I would try that route. Good luck. Meridth Wife to Larry (02/22/02) Mother to Forrest (01/21/01) Expecting #2 02/14/05 Gastric ByPass 02/23/04 370/268pg/175 goalweight Quote Link to comment Share on other sites More sharing options...
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