KittyMom2
Member
- Joined
- Aug 1, 2016
- Messages
- 6
Hello all!
Just wondering if any of you have been successful at getting your insurance to pay for RNY revision to DS? I just recieved my first denial. The only reason they are stating for denial is that it is not "medically necessary" despite my BMI of 56 and several co-morbidities. With RNY I was never able to get out of "super morbidly obese" category or off any medications. They did state in the letter that they will continue to cover "alternative" treatments such as nutrition and behavior. Do I have a leg to stand on to appeal?
Does anyone have any sample appeal letters? Or any scientific studies that you recommend I refer to in my letter?
I greatly appreciate any and all suggestions!
Just wondering if any of you have been successful at getting your insurance to pay for RNY revision to DS? I just recieved my first denial. The only reason they are stating for denial is that it is not "medically necessary" despite my BMI of 56 and several co-morbidities. With RNY I was never able to get out of "super morbidly obese" category or off any medications. They did state in the letter that they will continue to cover "alternative" treatments such as nutrition and behavior. Do I have a leg to stand on to appeal?
Does anyone have any sample appeal letters? Or any scientific studies that you recommend I refer to in my letter?
I greatly appreciate any and all suggestions!