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Feeling defeated :(
I started working on my appeal at the beginning of August but it took some time to get documentation and recommendation letters from everyone. By the time I submitted my appeal at the beginning of September it was over 40 pages. I had notes and a letter from my physical therapist, I had a letter from my chiropractor, I had notes and a letter from my regular doctor, I had notes and a letter from my surgeon, I had pictures taken at the surgeons office, I had pictures of my own that showed my ribcage literally bleeding from the weight of my chest on my bra cutting into my skin, I had a 5 page highly detailed letter of my own referencing every incident of pain that affects my well being, I had three medical journals that supported reductions of less than 500 g, I had EVERYTHING that you could possibly have in an appeal, and I still got denied.
Tomorrow I will call the number referenced on my letter to find out why specifically I was denied and to keep fighting this battle.
But as for tonight? Tonight, I will cry.
I can't keep living in this much pain. I can't do it anymore.
Tomorrow I will call the number referenced on my letter to find out why specifically I was denied and to keep fighting this battle.
But as for tonight? Tonight, I will cry.
I can't keep living in this much pain. I can't do it anymore.
Extremely Frustrated!
I got a call from my surgeons office today and it was not good news. They contacted a rep for BCBS (the insurance that I have) who pretty much told them that he didn't think I would qualify. So what did the surgeon's office do? NOTHING. They didn't submit anything to my insurance, just wrote me up a quote for $10k. I am so frustrated that they thought that was acceptable. I asked them to send me the "checklist" that the insurance rep had sent them so that I can start making my own case for my insurance company. I know that the reason the rep said I probably won't get covered is the Schnur Scale. I just can't believe that my surgeon didn't even try to make a case for me. Anyone who has had success appealing to an insurance company, PLEASE help! Send me examples of letters, anything.