WHO Fought & won??

[I'llsucceed 1]

Wondering if anyone has Blue Care Network in Michigan? Or when you may have been denied & than fought & won. What did you do -what did you send in- who called the surgeon or your PCP(regular dr )? How long did it take?

[Jammin & Losin 1]

Hey girl ~~~I just wanted to say~~~ FIGHT! GIRL! FIGHT!!!!!! I'm in your corner!!!!! GOOD LUCK!!!

[New Hope 37]

Christina, what is the reason they're giving you for the denial? Do you know for sure that they cover the adjustable gastric lapband procedure (not the gastric bypass)?

[I'llsucceed 1]

Christina, what is the reason they're giving you for the denial? Do you know for sure that they cover the adjustable gastric lapband procedure (not the gastric bypass)?

I was told they were both covered - but that wasn't through them directly- but through the docs office.

The problems they stated were #1 the psyc eval. which I believe has been cleared up. My psyc Doc was kind enough to call & ask what was wrong. They actually told her that they didn't think I had a good understanding of what the operation envolved. LOL LOL - way off course on that one. She said they obviously didn't read her review & she was going to re-fax it over & hopes that it clears that part of the disput.

#2 was I had no diet(followed by a doc) this past year. But I couldn't because I had zero insurance & never saw any docs this past yr. So I am S.O.L. on that one. #3 was something wrong with my BMI ratio. My PCP is supposedly calling to dispute that today. I see her tomorrow for a leg problem & will make sure she followed through.

So I was just wondering if anyone else had anything that they did to disput stuff. I think it was Alex who mention getting her GYN to write a letter so I am also attempting that. I lied (just a little) & told each of the docs that the insurance co. said they would over turn their decision if each of them were to call personally & talk to them this week. So far its worked with one;0)