Need Help!

November 8, 2005

Need Anyone's help with M-Plan that has been approved. They require 18 months of physician weight loss. Just found out they wont include my time using Meredia or Adapex-even though I had to go for monthly check ups and blood work and weigh ins with doc. I am getting very discouraged. Have been up and down scale with Weight Watchers, LA Weight Loss, Tops, otc diet pills, curves but not under doctors care-what do I do????? Is there some sort of advocate that I can contact. My mom has had procedure and she said there might be. Any help would be much appreciated!!! Thanks!

Kadtie

(Still Hopeful)

paula · November 8, 2005

Just found out they wont include my time using Meredia or Adapex-even though I had to go for monthly check ups and blood work and weigh ins with doc.

Have you talked to your doc's office about this problem? Sometimes they can do some word changing and make the requirements "fit".

Its worth a phone call.

Newlife4me · November 8, 2005

My doctor said that he would write a letter to the insurance company stating why it is needed for medical reasons. You might check with him/her on that as well. Good luck.

November 9, 2005

Thanks for the info. I'm going to contact my doc today. Have either of you or anyone else heard of some sort of advocate, that can help compile the info you have for an appeal?

Thanks

Kadtie

Teresita · November 9, 2005

Good Luck Katie I'm sure a letter from the doctor would be helpful. Insurance companies seem to think they are suppose to say no the first time.

paula · November 9, 2005

Kadtie,

You may want to start a NEW thread asking members about the process of an appeal. I know there are several members there that had to do this. (I persoanlly did not have to - thank God )

Also, you may search the archives of this site to read about past discussions regarding this problem.

Good luck!