Sent my appeal letter

Well I sent it-- actually I faxed it and I sent in certified mail too. My dh talked with his HR person at work and she wasnt even aware the coverage was dropped on November 1!!! ( the same day I filed my paperwork to be approved) Err anyway we will see from here. I have to wait 20 business days to hear the answer and then I will contact a lawyer if need be. I really hope we dont have to go there! Jill

Way to fight jill!!! Go get 'em!!! Keep us posted, kay?

__________________
Kathy-Dr Kuri~April 8,2005~Inamed 9.75mm/4cc
Fills 7/11/05~10/19/05~11/16/06 .75cc total
242high/223.4surgeryday/173.6current/145goal
BMI~40.1/37/28.9/24
~5'5" 68% of excess weight gone!~
36.5 total inches lost so far! (updated 9-12-06)

Good Luck !!!!

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~ Eileen ~

Good luck!

If they have any questions about the Band itself, point out to them that as of January 1, it has an official CPT code. (See the sticky thread http://www.lapbandtalk.com/f8/new-cpt-codes-lap-band-11845/ )

To be honest with you, I am surprised that people haven't jumped on the potential significance of the the CPT code come January 1.

You see, until now, many insurance companies have said the LAP-BAND® is investigational (even though I think about 200,000 have been placed worldwide) because a 'code' doesn't exist for it.

Well, now it is official, and has a code that can be billed for it, just like gallbladder surgery, an office visit, immunizations shots, etc.

I am hopeful that the new CPT code will cause many insurance companies to change their tune about the supposed 'investigational' nature of the Band.

__________________
Dr. Ron Hekier, Texarkana LAP-BAND® Surgeon
LAP-BAND® Texarkana ( Texas | Arkansas )
Disclaimer:
All information posted by me is my personal opinion and does not reflect views sanctioned by any other body or entity. Posts on this board should not be construed to be offered as medical advice or a professional opinion.