Pissed
The day before a heart procedure, I got a letter from my insurance company that they would not pay for it. They denied coverage, based on reasons that I disagree with. I was notified that I can appeal the decision, but even best case, that could take up to 60 days.
They notified the doctor, and barring approval on appeal, the procedure will be cancelled. I don't know what this bodes, as this was supposed to be preliminary to an extensive repair.
peace
The day before a heart procedure, I got a letter from my insurance company that they would not pay for it. They denied coverage, based on reasons that I disagree with. I was notified that I can appeal the decision, but even best case, that could take up to 60 days.
They notified the doctor, and barring approval on appeal, the procedure will be cancelled. I don't know what this bodes, as this was supposed to be preliminary to an extensive repair.
peace
Is there any-way to get an expedited appeal, or (to) find any kind of advocacy for more pressing/time-sensitive procedures such as yours?
-as I'm guessing this was not one of the elective-variety & type. . .
Hoping you can get all of the information that you can, as fast as you can, in order to find the steps that you need to take, in order to get this
resolved, and with as great a likelihood of chances at success, for your order/or favor~
It's just hard to believe that such a thing can happen in instances such as this. But then again, looking at it from their (the insurance's) side of things:
it begins to become, just a bit less of a mystery.
Again, I'm sorry for this unfortunate luck. And I can only hope that a swing of misfortunes will be coming your way in fairly short-order.
Sending my best!
-mrb.




