Re: Denied

[Guest guest]

Polly,

Hang in there girl!! At least you've gotten that far!! I've been trying

since Feb. just to get my insurance company to admit that they have my

pre-approval letter from the doctor!! They seem to " lose " everything or

else the person who was working on it is " no longer with the

company " .....yeah, since FEB!!! Finally, last week they finally admitted

receiving the RE-SUBMITTED packet that we put together. We had sent this

one certified so we could prove that it had gotten to their office....but

this time, " we just moved the office to another state about 2 weeks

ago.... " ! If I can't get an approval...or denial...I can not appeal!! I'm

just stuck!!!

Yes, the mood swings involved with trying to get this approved are crazy!!

I go from wanting to " hurt someone " to well, maybe its for the best and I

don't need to have surgery...I have a BMI of 67 to 68....I definately need

to have surgery!!!!

Just hang in there....use this site to vent and keep fighting!!

Jerry, Southern Gal from Louisiana waiting on approval

>From: thelecomte3@...

>Reply-To: duodenalswitch

>To: duodenalswitch

>Subject: Denied

>Date: Tue, 13 Nov 2001 16:50:51 EST

>

>Hello all.

>Oh a sad pre-op I am today. I spoke to the insurance company(Medical Mutual

>of Ohio) and they said t that Dr Hess's code for bariatric surgery 43847

>was

>not covered as it is experimentle. All three other codes excepted

>43633,44130,47600.

>Guess i am on my way to the other list (not rny) the deniel list.

>I wrote to Dr Oakley asking him to comfort me with his wisdom as I do not

>know the next step here. I hope it is just a temporary snag, i can not

>believe the emotions one goes through trying to obtain this surgery.

>thanks

>for listening Polly

>

>

>

[Guest guest]

Being an advocate for insurance benefits, as long as you provide them that

certificate of previous coverage they will not be able to make you wait for a

year. Hope that helps.