Insurance help!!
Hi all, I got denied yesterday! 
I remember
reading at some point about a web site or a lawyer that
will help. Does anyone know who this is??? My
insurance co lost my paperwork 4 times!!! I let my surgeon
schedule my surgery date and go thru all the preadmit
stuff, that now it looks like I will have to pay for-so
they say! I don’t think so!! I didn’t know better
about the surgeon. Apparently 200 extra pounds and
sleep apnea don’t make me sick enough for
surgery!?!?<br>Thanks in advance for any help! Marla
February 17th, 2004 at 5:51 pm
Thank you, Thank you!! That is exactly who I was
looking for. I’m trying hard not to give up. My 9yo son
was wonderful "Don’t worry mom, I love you know
matter how much you weigh." I love that kid! Someone
thinks they heard of a law that this surgery can’t be
denied ? Think its true?
February 17th, 2004 at 11:11 pm
I’m not sure about personal insurance, but there
is a law that states Medicaid must pay for WLS if it
is a medical necessity. Are you on disability? If
so, you should have Medicare/Medicaid. Medicare is a
problem because they don’t pre-certify, and as of late,
they haven’t been paying the claims. However, since
Medicaid is secondary, it pays for anything that Medicare
doesn’t pay. Don’t get discouraged about your first
insurance denial, appeal it. I hope everything will work
out to your liking.
February 18th, 2004 at 4:32 am
Hi Marla,<br><br>We have 2 things in
common—1.)We both are having trouble with our insurance
companies and 2.)We both are Rns. I think it very sad and
unfair that we have dedicated our professional lives to
caring for the sick yet are denied when we need help.
I’m beginning to lose faith. Good luck in your
quest.<br><br>Tracey