Question:
Does anyone have advice about appealing an insurance descision

I have had 2 verbal "yes your surgery is covered"answers and then. They sent me a written denial letter. I already have a date (apr 24th) and now what!I don't know where to go from here.Do I need to get an attorney? Can I appeal this myself.what are my chances of a reversal? Thank you!!    — Denise A. (posted on March 31, 2001)

April 1, 2001
Oh Denise I am so sorry about your situation. Did you contact your insurance company and get the particulars surrounding your denial? Did you mention the fact that you were initially approved? I retained a lawyer because I was denied from the beginning and it took me over a year to get approval. I went through the entire appeals process with a lawyer and still got the same results as a person that did not retain a lawyer. The decision was overturned at the state level in my favor. I wish you well
   — Margaret M.

April 1, 2001
If you look on to my page you will see that I had some of the same things to happen to me. Well, I got my husbands employer involved and I told them what happened and they called their acct. excutive, to inquire about the situation. Well as we all know the acct. excutive does not want to loose this huge contract so therefore he tells them to ignore the denial and it get's approved. I was told by the Human Resource Dept. at my husband's job that they would not keep an insurance co. that could not meet their employees needs. If you have insurance through your employer or husband's employer I would certainly get them involved it worked for me.
   — TANGIE B.