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October 2012 Moms
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May I Continue....

Sillygirl85Sillygirl85 member
in October 2012 Moms
To whine and complain?

Insurance has ruled that DH's hospital stay for cellulitis was not medically necessary and will not be covered.

I wish someone could tell me that things are not going to get worse.
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Re: May I Continue....

  • LorMorLorMor member
    What!??!
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  • JoNi2010JoNi2010 member
    Um, what?!  Can you ask the docs to send in an appeal?  That is outright ridiculous.  I'm all for the provision in ObamaCare that states that insurance cannot deny or raise premiums based on health issues, but they should not be able to deny hospital stays (or ambulance transports, or chemotherapies,... there is a whole list of things!!)

    I am sorry to hear this.  What a headache!  Seriously, I would ask the doctors to talk or send in a letter.  Insurance generally don't give a sh*t about what doctors say BUT sometimes, the appeal is successful. Good luck and keep us updated!

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  • navyandvioletnavyandviolet member
    Always appeal.  They often say no the first time, an appeal will get you to someone who can make a decision.  The first guy just had a rubber stamp that says denied.
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  • lady dixneuflady dixneuf member
    Please please raise hell over this. That is not ok


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  • Sillygirl85Sillygirl85 member

    lady dixneuf said:
    Please please raise hell over this. That is not ok
    I will or my husband will.
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  • nealblnealbl member
    Check why they denied it. My spinal block was denied at first when I had csection. I called and asked why and after some research they realized it was coded wrong
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  • HamptonsMamaHamptonsMama member
    Sorry that you have to deal with this. I agree though and think you should appeal. Best of luck!!
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