Omg! My External Appeal Was Approved!
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Congratulations! RE: saved money - I told DH that since the surgery would've cost about $13K, but I got my denial reversed, I sort of saved us $13K, so it was kind of mine to do as I wished with. I
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I was denied bcuz my bmi was under 50. My advice is jump thru their hoops & fight for it!! I did an expedited internal appeal & then had to do an external appeal to an IRO (independent review
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Congratulations!!!!!
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I just got the mail & I seen a letter from the external appeals place & was instantly sick to my stomach. I was convinced this was my final denial for the sleeve. So I went ahead & opened it & it has been APPROVED!!!!!! OMG! I am beyond excited right now!! If anyone is going through this or wondering if it is even worth it, the answer is Yes! Fight for it! I'm so glad I did!! I was denied by Highmark because my bmi is not 50. But with much perserverance, research, proof, & appeal writing I GOT APPROVED!! WooHoo! Can you tell I'm excited?!?