Need some info from EVERYONE
Hello everyone.
Im about to write my second and final appeal to my insurance board. Since I had my surgery in April I fear the chances of them covering the surgery is slim. But since my surgery was a gift from my neighbor, I would love for my insurance company to foot the 16K bill so I can return the cash to her as she is about to retire and go on social security.
I need facts on the benefits of having this surgery. Any websites that have great facts and statistics on the benefits of gastric bypass. Any help you guys can give me with this will be greatly appreciated. Thank you!
What a generous n e neighbor! Had you tried to get the surgery approved before she generously covered the cost? If so why didn't it get covered initially? I think getting them to pay for it now so u of be slim but that no g by depend upon why it wasn't approved initially. Did you go through all of the insurance company procedures? That could make the difference between it covering the surgery or not. Insurance companies are very strict about the steps they require.
Karin
The surgery is an exclusion in our benefit plan. When I sought pre approval last year they told me under no cir****tances would it be covered. Then on Christmas I saw my neighbor in passing and she asked when I was having it. And bless her heart she gave me the greatest gift. Once I told her she said she wanted to pay for it. And that was that. Now im fighting the insurance company. This is my last chance to appeal to the advisory board which is made up of the depatment heads who bought this insurance plan and chose to exclude the surgery from our benefit plan. I work for my city. So the city administration is who I am up against. If they approve it then the insurance company will cover it. So I figure I need to be factual and explain the many benefits of this procedure.
The surgery is an exclusion in our benefit plan. When I sought pre approval last year they told me under no cir****tances would it be covered. Then on Christmas I saw my neighbor in passing and she asked when I was having it. And bless her heart she gave me the greatest gift. Once I told her she said she wanted to pay for it. And that was that. Now im fighting the insurance company. This is my last chance to appeal to the advisory board which is made up of the depatment heads who bought this insurance plan and chose to exclude the surgery from our benefit plan. I work for my city. So the city administration is who I am up against. If they approve it then the insurance company will cover it. So I figure I need to be factual and explain the many benefits of this procedure.
if your employer didn't buy the coverage for WLS, then the insurance e company is likely not going to cover it,period. Why would the insurance company pay for a procedure that your employer has not paid premiums on?
