Can anyone help me with my appeal for UCH????

[RickyRoss831 0]

:thumbup: I SWEAR I AM ABOUT TO PULL MY hair OUT....FIRST MY DOCTORS OFFICE MESSED UP ON MY FIRST REQUEST....THEY TRIED TO SEND IT AGAIN....BUT FOR TWO WEEKS MY UHC INSURANCE KEPT TELLING MY THE SECOND REQUEST WAS STILL PENDING STILL PENDING AND STILL PENDING....WELL TODAY THEY THAT CAUSE THE FIRST ONE WAS DENIED THAT THIS SECOND REQUEST WAS CANCELLED AND I HAVE TO START AND APPEAL....:blink:AND I WAS LIKE WHAT:scared2::cursing:FOR TWO WEEKS I BEEN CALLING AND YOU COULD HAVE TOLD ME TO START AN APPEAL BUT YOU NOW TELL ME TO START IT WHEN IT COULD HAVE BEEN DONE ALREADY!!!! SO THIS IS WHERE I NEED SOME HELP....IF ANYONE HAS HAD THE RUN-AROUND WITH UHC AND HAD TO DO AN APPEAL....CAN SOMEONE PLEASE AND HELP ME OUT BY SENDING ME A COPY OF THE APPEAL LETTER YOU SENT IN THAT GOT YOU APPROVED BY UHC....JUST TO GIVE ME AN IDEA WHERE TO START....MY EMAIL IS EXPLICITPELON@AOL.COM :tongue: THANK YOU THANK YOU THANK YOU AND HOPEFULLY SOON I CAN BECOME ONE OF YOU FELLOW BANDSTERS....

[Lana24 10]

take a deep breath and then reapply... I know this is hard but don't call them constantly just find out what their policy is and try to adhere to it. If it makes you feel any better, I had to apply 3 times before getting approved the 4th time...

Good luck

[Rebechuds 0]

Well over two weeks (04/2/08) ago I went to my PCP and got the referrel to the Dr. Givens. I went to the Seminar on Monday (05/05/08) and also got lucky and had my first consult with them also that afternoon. While I was sitting in the office I got the bad new, my insurance wont cover anything dealing with weight loss surgery. So now I have to appeal to the insurance to prove this is a medical need and not to just look good but for my health. I'm also needing to send a letter to our senator of SC and to the governor of SC. The state of SC has it where the insurance wont pay for this wonderful surgery. I have BlueChoice of South Carolina. If anyone has them or can help me in getting them to approve this surgery I would appricate it. You can email me on here or at rebechuds@aol.com . I want to be here for my children to see them grow up and be healthy for the rest of my life. I have for the last month cut back alot in what I eat and have lost 6 pounds but I'm hungry all the time to. HELP HELP!!!!!

[deb512 0]

I don't know if this would help but would you like a copy of my appeal letter? maybe you can use it as a guide as to what to write?

e-mail me at aquilinodeb@aol.com and I will send you a copy. I'll omit my personal information and you can fill in your own information. It worked for me.

[MacMadame 81]

Before you appeal, you need to find out why you were denied. Then you can gear your appeal towards that. Like if you denied you because of missing info in your paperwork, you can supply the missing info. If they denied you because you don't have enough co-morbidities, you can take some more tests to see if you have ones that weren't discovered the first time. Etc.