Sent my appeal letter

jillrn · December 2, 2005

Well I sent it-- actually I faxed it and I sent in certified mail too. My dh talked with his HR person at work and she wasnt even aware the coverage was dropped on November 1!!! ( the same day I filed my paperwork to be approved) Err anyway we will see from here. I have to wait 20 business days to hear the answer and then I will contact a lawyer if need be. I really hope we dont have to go there! Jill

the best me · December 3, 2005

Way to fight jill!!! Go get 'em!!! Keep us posted, kay?

NJChick · December 3, 2005

Good Luck !!!!

DrHekier · December 3, 2005

Good luck!

If they have any questions about the Band itself, point out to them that as of January 1, it has an official CPT code. (See the sticky thread http://www.lapbandtalk.com/showthread.php?t=11845 )

To be honest with you, I am surprised that people haven't jumped on the potential significance of the the CPT code come January 1.

You see, until now, many insurance companies have said the Lap Band is investigational (even though I think about 200,000 have been placed worldwide) because a 'code' doesn't exist for it.

Well, now it is official, and has a code that can be billed for it, just like gallbladder surgery, an office visit, immunizations shots, etc.

I am hopeful that the new CPT code will cause many insurance companies to change their tune about the supposed 'investigational' nature of the Band.