DENIED Tricare STINKS!
I just got a call from my surgeons office and was told that Tricare denied my revision from band to RNY. I m so upset and pissed off. She told me that they received a long explanation and I should receive mine in the mail soon. I then asked her what was next and she acted like she didnt care. I am going to call Insurance as soon as I can speak. I am left wondering what is next.
There's probably an appeals process, right? Don't panic just yet.
Please note: I AM NOT A DOCTOR. If you want medical advice, talk to your doctor. Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me. If you want to know what your surgeon thinks, then ask him or her. Check out my blog.
There is an appeals process. I know you are upset, and I do understand why. Wait till you get your letter so you can see why it was denied, then you can plan your strategy.
In the meantime, hang in there!
I fight badgers with spoons.
National Suicide Prevention Lifeline: 800-273-8255
Suicidepreventionlifeline.org
Well, if they don't like TC, they don't have to accept it. Kick it up the chain and talk to someone else if she is unable or unwilling to help. She may not be the person who handles appeals, so it's possible she doesn't know the first thing about them.
Sure it stinks, but it's not the end of the road by any stretch.
take care
I fight badgers with spoons.
National Suicide Prevention Lifeline: 800-273-8255
Suicidepreventionlifeline.org
I do not have Tricare, but I was denied the first time. I was also denied the second time which was my peer to peer review. The third time I did my own appeal and was approved.
You were probably denied for non compliance. If that was the case, get a letter from your nutritionist saying you are following an eating plan and are compliant!
Write a heart felt letter about your craptacular experience with the Band.
It can be overturned.