Question:
Has anyone hada GREAT appeals letter for United Halth Care????

I have a big problem need HELP. My comany policy states they don't do the surgery. How the heck do I get them to approve it. Does anyone have a great appeals letter that he them get it approved.I have sleep apnea, GERD and taking pills for arthris in my knees and lower leg area. HELP HELP HELP I don't want to lose my surgery dte of 2/11/03 My BMI 43    — Diane D. (posted on December 12, 2002)

December 12, 2002
If your company specifically states they do not cover WLS I don't know that you have any options. I was immediately approved & I have United Healthcare Select Plus POS.
   — Wanda R.

December 12, 2002
Maybe this site may help you out...there are links to letters at the bottom...http://www.insure.com/health/obesity.html
   — Jon S.

December 12, 2002
I have United too. The only reason United won't pay is if your employer does not want to cover it in its policy. You can appeal it but there isnt much they can do if your policy owner does want it coverd. Also on every hard copy poilcy they state they will not cover WLS, but in fact they do. Call and ask if it is covered if it is not ask if it is the ploicy owner that not wanting it covered. If you want to appeal to your HR dept of your employer. Good luck
   — Tonya G.

December 12, 2002
I can't help you with an appeals letter, but I DO have a suggestion. Go to http://www.obesitylaw.com and when the "home" page comes up, scroll to the bottom where you'll see the different "sections" of the site listed. Click on "articles". Some GREAT information here on how to do battle with insurance companies.
   — Allison S.

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