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UHC - Stalling?????


Guest Tudge

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My insurance plan is with GROUP RESOURCES in Duluth Ga. I am a Lab technician in our one and only hospital. Our hospital provides the service so it is in the "network". My pre cert was submitted on june 6th they received it on june 13th. We waited and waited on July 6th they informed me that they needed 2 years of medical records to corroberate that I had high blood pressure and was over 300lbs for more than 2 years! How about I have been over 300lbs since I turned 27. I am now 36. I have called and they recieved my 2 years worth of records so now on the 15th I will know if I am approved. I have high blood pressure, Lupus, Secondary scleroderma, Arthritis, chronic fatigue syndrome , and fibromyalgia(other stuff they can't diagnos). My insurance already pays alot for the other illnesses in medicne alone. My PCP, and my specialist say that everything except the lupus would be eliminated or manageable with WLS. Get this they both suggested the Lapband because they say it is safer. They are advocates for the band Hurray and have written letters along with the records. If they turn me down I am fighting like hell to get it!

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