Anyone just starting the process???

[Lee 19]

Shylady, I don't know anything about insurance companies or appeals because I have Kaiser, but I wanted to come and give you a virtual hug. This will all work out. You've done everything you were suppposed to. If I were you, I'd start a new topic about appeals or search the forum for information. You want to get as much response as possible. I'm sure there are others that went through the appeal process and are now sitting on the Loser's Bench. Hang in there!

[MINI-Me 196]

If the denial was based only on the missing psy eval, there should be no problem with a quick appeal process. Just take deep breaths. I'm sure your doctor's office is used to the red tape and the process - they will help you out.

[vibris 0]

I am getting VSG in March. Wish I could get it now:0) but have to get all of my testing done. My insurance is with Aetna and they require 3 mos of dieting. My dr says he is sure I will get approved. It was a little discouraging, because he is not a big VSG advocate and wanted me to get the lap band, but he said he would do it, because it is my decision. I am excited to soon be on this weight loss journey. I know it is going to be a lot of work on my end, but I am ready for the challange!

[shylady318 0]

So I talked to a person (not the one that is handling my case but was helpful) at the doctors office. They said they had not gotten the denial yet. She said she could see that they did send the pych eval but she would re-fax it again just in case.

So Saturday I actually got the denial letter in the mail. Of course it said not pych eval was included and that it would require an appeal.

So today I will call the doctor's office again and see if they got the letter or fax them a copy of mine. Maybe they can get this straighten out without all this appeal process.

Feeling alittle discouraged, I know I need to be patient but that is not one of my strong points.

:smile::thumbup1: