nic4483
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Everything posted by nic4483
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Panniculectomy appeal success!
nic4483 replied to SkinnyKathy's topic in Plastic & Reconstructive Surgery
Congratulations! I just received my first denial in the mail today for my tummy tuck. I'm a little discouraged, but after having to appeal my WLS two times before winning approval I'm ready to put up another good fight : ) Do you have any suggestions or tips for appeal? Any sample letters that you, your surgeon, or PCP wrote would be great as well. Thanks in advance! -
Talk to me about TriCare + Comorbidities
nic4483 replied to tomatogirl's topic in Insurance & Financing
I can't seem to get a straight answer from anyone at Tricare if there is a time stipulation on co-morbidities. Anyone else have any experience or ever gotten a straight answer from Tricare? -
Talk to me about TriCare + Comorbidities
nic4483 replied to tomatogirl's topic in Insurance & Financing
Does anyone know how long you have to have the co-morbidity for? I was denied by Tricare, but I'm preparing to appeal and just found out I have hypertension. So I should qualify now, but I'm just worried they might say I haven't had it long enough. I have the records from the dr. visit when I was diagnosed and it's noted that I was put on medication for hypertension. If anyone has any insight or experience I'd greatly appreciate it. -
Talk to me about TriCare + Comorbidities
nic4483 replied to tomatogirl's topic in Insurance & Financing
Does anyone know how long you have to have the co-morbidity for? I was denied by Tricare, but I'm preparing to appeal and just found out I have hypertension. So I should qualify now, but I'm just worried they might say I haven't had it long enough. I have the records from the dr. visit when I was diagnosed and it's noted that I was put on medication for hypertension. If anyone has any insight or experience I'd greatly appreciate it.