Well, you probably won't hear from me for a while. I cannot even appeal my denial. All of my weight management documentation is 3-4 years out. They want it no more than 2 years out. You would think that would have been mentioned somewhere along the way. Nope, it wasn't.
So back through the Sharp program I go. Been through it twice, third time should be a charm. My primary care thinks discipline is the answer...well that just isn't going to cut it with the insurance folks now. They want documents, not mind over matter stuff. I tried to explain and then after almost an hour lecture from my PCP, I just knodded and left and called Sharp.
My neurologist was baffled, since I am in so much pain and suffering. But he won't comment. I am sure it is the professional courtesy they all share. I am a hurting unit and back to supervised weight management. What ticks me off the most, no one ever called from Dr. C's office to say, hey by the way (YOU ARE DENIED).....I had to call them.
You go through so much and you cross your t's and dot your i's and then they kinda forget to tell you some of the things that might come up.
Oh ya, I have a PPO, so I have some bills from this process too, that I wouldn't have had, had I not gone this route.
Denied, feel shorted, and left by the wayside. Still with a medical health problem that no one seem to consider.

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