Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Insurance Denial? Here is what you do next!



Recommended Posts

1) Take a deep breath. Grab something to drink and a peppermint. (Peppermints work as a mood stabilizer and assist thought process.)
2) Open up your laptop. We are going to write a letter of appeal.
3) Have your denial letter handy. You will need that address. I will write a dummy letter at bottom for format purposes.
4) MAIL your letter yourself! Also give a copy to your Bariatric Team. You learned a long time ago if you want something done, do it yourself. This is no different.
5) What info needs to be in my letter? Glad you asked or didn't or whatever..
List your height and weight. List your BMI. Write about your life of obesity. When it started, approximately. Why it started if you know. Most importantly in specific, precise detail describe how obesity is effecting your life negatively personally AND physically including medical conditions. Lastly, describe how you understand this is a tool and you are ready to make self changes and better your life if they can please reconsider and grant you the gift of life by approving your surgery for this life-saving tool
6) Mean It!!!
Dummy Letter
Insurance Co. name
Address
Address
Current date
To Whom It May Concern:
Letter Body
Thank you for your reconsideration.
Sign your name in black ink.
Type your signature
Your address
Address
Your Area code and phone number


Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×