Insurance changes....Can they do this???!!

MistyM
on 10/25/11 11:02 am - Eufaula, OK
VSG on 06/26/12
My benefits book says that a 6 month supervised diet is required. At the beginning of my journey,my patient advocate contacted my insurance who confirmed this. I am now done with the 6 months. Today my patient advocate calls me and tells me they have denied my approval as of right now,because they are changing to a 12 month diet requirement ! How can they do that after telling me and my surgeon that a 6 month is all I need?!

      
Month 1= 19#     Month 2=11#    Month3=8#  Month 4 =10#

dailey1456
on 10/25/11 11:10 am
 I would think that they couldnt Until the new policy year... my open enrollment is this month but the benefit year doesn't start until Jan... when the changes take effect... I would appeal especially if it's still considered a pending policy good luck hang in there 
USAF Wife
on 10/25/11 11:42 am
Did your surgeon's office get a pre-authorization letter/documentation on requirements?

That would the clear defining information on what they can and can not change for your approval.
Band to VSG revision: June 3, 2009
SW 270lbs GW 150lbs CW Losing Pregancy Weight Maintenance goal W 125-130lbs


MistyM
on 11/4/11 12:06 pm - Eufaula, OK
VSG on 06/26/12



Thanks guys ! Appeal was put in today !!! Please pray for me !!! 

      
Month 1= 19#     Month 2=11#    Month3=8#  Month 4 =10#

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