After Long days they denied me

So I call every day for 14 days (They said I had to allow 14 days for a decision) Health Partners declined me...Reason: All my co-morbids (diabetes II, High BP, High Cholesterol, depression, anxiety, and stress incontinence) are controls with meds....14 different kinds a day for goodness sake!! So the appeals begin... any suggestions of appeals process or sample letters that were successful? i posted on the insurance site too but none of them seem to be for HP. Help!! I don't want this last six months of hard work to be fore nothing!!

Oh Kim!  I'm so sorry to hear that. I would be so hurt, and frustrated.

Sorry, no suggestions just a HUG!  I can't imagine how frustrated you must be.

If you can, figure out how much your insurance pays for your meds every month and figure out what it will cost them for a certain time frame. Then figure out what they will pay approx for your surgery. My friend did this and it helped and she was approved. It shows them they actually save money by forking it over now versus constantly forking it over for the next many many years. Just a thought. Other than that, hang in there and good luck

Alannah

No advice from me either just wanted to say I am sorry!  I am sure you will get some great advice:)
Crystal

That's really a bugger that Health Partners turned you down!
With all the research that has been done with co-morbidities GOING AWAY because of drastic weight loss via surgery, you'd think your case would've been approved with bells on!  You'd think they'd be delighted to get you off what I'm sure is a load of meds--which  probably are not cheap!   BOO TO THEM!!


My prayers that your appeal is quickly approved.  Good luck!
((HUGS)) to you~
**SUE**

Sorry to hear about your denial for surgery and I unfortunately do not have any advice to give you... but I think Alannah gave you a great suggestion.   Wish you the best in your appeal and pray that you have quick answer of an approval for surgery.


God Bless,

Erika

Thanks everyone!! I figured out what they have spent so far but not how much they charge for surgery so that is a good point in my comparison. If anyone knows anything about a patient advocate and how the work. That would be great as they haven't returned my call yet.... Thanks for the support!!

Patient advocates are people who speak for a person because of their extensive knowledge. Your pcp could probably set you up with one or else your supposed to be surgeon might be able to also. I know my mom was my advocate with all my hospital stays (I am in at least 2 weeks a year cause I have gastroparesis that causes pain and nausea and a whole host of other things). My mom knows me very well and what I want and need therefore speaks for me. A professional advocate, which is what I believe you are asking about, knows the ins and outs of insurance and hte hospital and dr's and such and speaks on your behalf for medical. They will also sit down with you and figure out your wants and needs to figure out the best plan for you. Hope that explains it a little bit. I hope you have luck soon,

Alannah

So sorry you got denied -- a real bummer.  I'm sure someone will pipe in about appealing health partners -- good luck and I'll say a prayer you get approved soon!!!!

XXOO