Re: Has this happen to anyone?

[Guest guest]

Dave, Not only should you write to them but I would even get an attorney's

opinion...A health benefits specialist is the best. You can look under Pension

Attorney in the yellow pages.Their specialty is writing appeals letters! I

bartered with an attorney to go with me to my level II appeal meeting. No money

will change hands. Be creative. I bake a fabulous cheesecake and am an early

childhood specialist...believe it or not someone else would love to barter for

those services!

Good Luck! Tami

Has this happen to anyone?

My Groups | MiniGastricBypass Main Page | Start a new group!

Did anyone have to write a letter to their employer to get approved

my so called insurance co said " We have received the appeal for

services denied on the basis of " services or procedures for the

primary purpose of weight control or reduction " being a specific

exclusion in the employers plan document. While we cannot dispute

this condition does cause other health problems we have no choice but

to deny the proposed gastric bypass by Dr. Ruteledge due to

this specific exclusion. Therefore, the denial will stand. Based on

the ERISA Rights, you do have the right to appeal this denial. You

will need to submit additional appeals in writing to the home office.

They gave me the name of the lady to write to and the address.

If you had to do this, can you tell me what you would put in the

letter...How much do I spill my guts? I do think I need to write

them, do you?

Dave in Kentucky

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