LSH: Recieved Denial Letter

I am OUTRAGED! I woke up this afternoon from being in bed almost all day because of my pain to a denial letter stating I was denied "inpatient admission for an elective procedure" and it's not even from my insurance company! First of all, I called my gyno's office to speak with the lady that schedules the surgeries and she is on top of looking into it and said she WILL call me back tomorrow. Second, I called the number on the letter and basically broke down in tears and rage, thank you hormone craziness and pain, begging them to call me and talk review with me. This is definitely not an elective surgery. This is a medical necessary procedure that has been deemed so by several opinions. I really didn't need this today, as I have been breaking down and crying at the smallest, stupidest crap.

Has anyone else ever received one of these denial letters from a company other than your insurance? How did you handle it? Was it able to be taken care of easily without having to appeal and fight it out for 90 days?

Hi MizzLizzie

I am very sorry you've received this upsetting news. Hopefully the coordinator you're dealing with can help. I think hysterectomy is almost always categorized as "elective," although I don't think I really understand why.

Hang in there and let us know how things unfold; keep your chin up and keep doing what it takes to be well.

I can't believe it!! I wish before they sent out these letters they would come spend 15 minutes with us and see how badly this surgery is needed. Elective my ... (censored!) I am so so so sorry that this has become one more thing you have to deal with. Keep fighting. We are here to support you and love you through all of this. Please let us know if you need anything!!!

I don't understand - who is this other company, and why are they sending you a denial letter? Aww, I'm so sorry you have to deal with this kind of bunk right now. Hopefully that scheduling coordinator can get to the bottom of things and straighten everything out. Goodness knows, something like this is the last thing anyone needs to have to deal with when you're going thru the type of emotional and physical rollercoasters that we ride on as we approach our days at the castle. Keep your chin up and try to just focus on taking care of yourself right now - don't let this wear you down! All my fingers are crossed that this will be swiftly resolved for you.

I'm sorry for your pain with denial letters...I've had quite a few denial letters from insurance. I also went a year where they wouldn't approve anything because they were missing 'one document' (a lot of bs, that was a part of my life I tend to forget as it was very stressful).

Who was this denial letter from? I know it's hard, but keep your chin up and take some deep breaths. I hope tomorrow brings you better news.