Coverage Denied

Jul 22, 2010

My request for pre-approval was denied due to a specifc exclusion regarding wls. This is SO frustrating because not only did I call after the first of the year to see if I had coverage, I got an email from the insurance company stating the requirements to meet before submitting the paperwork for approval.  After the denial I sent a copy of the  email showing them where they listed the requirements.  I was told the customer service rep had made a mistake and the terms of my policy ruled.  When I talked to the financial rep at the doctor's office she told me there was nothing else we could do. At this point I'm going to start researching Mexico surgeons and see what will be going on with my insurance next year ( there are rumors of a change again next year). Then the beginning of next year I will either go to a surgeon in the US if I have insurance or go to Mexico if I have to self pay.

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