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It is now Official!!!!! It is now Official!!!!!

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Unread 10-29-2003, 11:20 PM
It is now Official!!!!!

Ok i m am now officially CANCELLED. As of 3:40 this afternoon i have had my surgery cancelled. My insurance refuses to budge due to the fact that i am only 28. When did age start to affect the insides? I just assumed that my insides were bad i didn't know you had to be a certain age to go through this. And What the [email protected] does we only approve ages 30 and above. Am i supposed to write a letter to my insides and say hey i know you are going crazy in there but you just hang around for 2 more years? Did anyone else have this experience. I am soo freaking out here. And i would like to say best of luck to all remaining LIW for Nov. 3
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Unread 10-29-2003, 11:43 PM
surgery cancelled/in ref to melissa's post

melissa, my insurance co. repeatedly tries to pull fast ones
on me like what is happening to you...what i suggest you do
(this works for me) is get a statement/medical documentation
from your doctor explaining why surgery is necessary. (this is the
first step since it takes doc a while to get this paperwork done)
secondly, call your state's commissioner of insurance or email
him/her. explain your situation and they will make a ruling on it.
if they rule in your favor, they will inform ins. agency to pay for
your surgery. if this does not work...i have an address of
a government agency that will help you. don't know
if i can just post the address, but if you want it i will email
it to you. believe me, i know how aggravating insurance companies are. **whatsnchiknugts
Unread 10-30-2003, 12:18 AM
It is now Official!!!!!

Dear Melissa,

How very frustrating and upsetting for you.

I don't know much about the American insurance regulations, but I can see that it seems to be the ins. companies rather than the doctors making a lot of decisions.....

Try talking to your doctor again - maybe they can intervene on your behalf.

I truly hope you get this sorted out soon.
best wishes
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Unread 10-30-2003, 12:30 AM
It is now Official!!!!!

It would be nice if doctors were allowed to decide how to treat their patients ... not insurance companies.
Unread 10-30-2003, 09:37 AM
It is now Official!!!!!

I think that is HORRIBLE, and agree with Janet!! And who cares HOW old you are!! If a Doctor says it has/needs to go, it needs to go!

I'm so sorry, but don't stop fighting!
Unread 10-30-2003, 10:09 AM
It is now Official!!!!!

That really *****, If you haven't already submit an apeal. I would also do what whatsnchicngts said. If you need the surgery they can't disaprove it because of age alone. I am 29 and my insurance approved mine. Mine is also elective, I chose to do this since I am in pain often severe and nothing else has worked. Not to mention the sick and bloated feeling I have about 85% of the time. I don't know the conditions of your surgery why you want it done or if it is urgent, but if the surgery is needed they can't just not approve it strictly because of your age. You can apeal the decision and it goes to a board. Have your doctor write a detailed letter as to why this should be done send it to your insurance company as well as to the state commissioner. All the insurance stuff is so difficult to become aquainted with because the people you talk to on the phone aren't ready and willing to let you talk to the people you need to talk to. They try to work it out on their own. I would start asking the operater that you want to submit an apeal and would like to talk to someone who could tell you how to do this. The insurance companies deny lots of stuff and then after review they aprove it. Many times they do it this way because they assume most people won't apeal the decision so it's an easy way to get out of paying. I hope everything works for you. Keep us posted.

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