Re: we won our appeal against UHC!

[Guest guest]

,

We also have United Healthcare and were denied coverage for my son's

DOC band. Just last week I downloaded one of the UH appeal letters off

this site and modified it to fit my son and sent it to United

Healthcare appeals. I haven't heard back from them yet, but I'm really

hoping this gets me results. Is that basically the approach you took?

(Downloading a letter and modifying it for your child?) Do you have

any other tips that helped you win your appeal?

Thanks,

, Mom to , 8 months

DOC band 10/06-?

>

> I just wanted to say thank you to everyone who posted appeal letters in

> the file section. If it weren't for you, I would have been lost

> writing my appeal letter. If you have been denied, please appeal.

> Insurance companies are expecting you to just forget about it. Again

> thank you all so much for your letters!

>

>

[Guest guest]

Hi stacy, my son's first docband was covered no problem. so when i

got denied for authorization for second band, i was shocked. i

called UHC and they told me it was the same doctor who reviewed it

and approved it the first time who denied it the second time. the

lady in care coord. told me the ref# for first band and to put it in

my appeal letter. she too was shocked that this was not covered.

anyway, i actually downloaded about three different letters (they all

had pretty much same info). i basically cut and pasted the parts

that fit my denial letter and i explained the chain of events thatled

up to denial. also, i had my ped write a short letter explaining

diagnosis and that it was a continuation of treatment from first

band. with all of the research i put in my letter (cut and pasted

from other letters) i dont see how they can deny you a second time.

but i know they do. if they would have denied me again, i would

have fought it. they dont expect you to fight it. my advice is to

call at least once a week to check status of appeal. and write down

everyone's name you talk to. good luck and let me know if you have

any more questions.

> >

> > I just wanted to say thank you to everyone who posted appeal

letters in

> > the file section. If it weren't for you, I would have been lost

> > writing my appeal letter. If you have been denied, please

appeal.

> > Insurance companies are expecting you to just forget about it.

Again

> > thank you all so much for your letters!

> >

> >

>