United Healthcare

[Guest guest]

where are you located? have you tried obesityhelp?

lori h.

> I just got my approval letter, but only to find out that the

doctor I spoke

> to isn't on the plan. I can't afford the out of pocket.

>

> Does anyone know a good dr. covered by United HealthCare?

[Guest guest]

where are you located? have you tried obesityhelp?

lori h.

> I just got my approval letter, but only to find out that the

doctor I spoke

> to isn't on the plan. I can't afford the out of pocket.

>

> Does anyone know a good dr. covered by United HealthCare?

[Guest guest]

where are you located? have you tried obesityhelp?

lori h.

> I just got my approval letter, but only to find out that the

doctor I spoke

> to isn't on the plan. I can't afford the out of pocket.

>

> Does anyone know a good dr. covered by United HealthCare?

[Guest guest]

Where are you? There are several here in the Tulsa area

Pat

United HealthCare

I just got my approval letter, but only to find out that the doctor I

spoke

to isn't on the plan. I can't afford the out of pocket.

Does anyone know a good dr. covered by United HealthCare?

[Guest guest]

Where are you? There are several here in the Tulsa area

Pat

United HealthCare

I just got my approval letter, but only to find out that the doctor I

spoke

to isn't on the plan. I can't afford the out of pocket.

Does anyone know a good dr. covered by United HealthCare?

[Guest guest]

Where are you? There are several here in the Tulsa area

Pat

United HealthCare

I just got my approval letter, but only to find out that the doctor I

spoke

to isn't on the plan. I can't afford the out of pocket.

Does anyone know a good dr. covered by United HealthCare?

[Guest guest]

Sorry, I forgot to mention where I was from, Miami, Fl. Kendall to be

exact.

Thanks for everyones help.

[Guest guest]

I was denied coverage under my health plan and I appealed it. Well

in my denial letter to me, they said that " When we receive this

information, we will complete our review no later than 15 calendar

days after we receive your request for review. " Well I sent the

appeal letter on Feb 5 to San and they received it Feb. 9.

So I called them today to get an update. Apparently San

sends it to Greensboro, NC! I asked why couldn't I just have sent it

to Greensboro. She didn't have an answer. Well Greensboro received

it on Feb 18 and the 15 day review would be March 4. She told me to

call back in 30-45 days and see if there is a decision. I said well

it says in my letter that they will make a decision in 15 days of

receipt of letter, why should I wait 30-45? She was silent and put

me on hold and when she came back she told me to call back in 30-45

days. Why do they say that they'll complete their review in 15 days

and then tell me to call back in 30-45? Isn't this wrong to do? I

will call them on March 5 and go through it all again. This is

wrong! Has anybody else had this saying in their denial letter from

United Healthcare? Sorry, I'm venting. Thanks for listening. Also,

do I have to wait until the final denial before I can go to the State

Insurance Commission? I want to send them a letter explaining that

United Healthcare is giving me the run-around.

[Guest guest]

Vent away.

I don't know about appealing to the State Insurance Commission. It

might put just the pressure on them that will push them to give you

approval. It might do it even better if, instead of writing them

yourself, you pay a lawyer to do it for you, and send it on his/her

letterhead. I dunno about that, either.

I had really good results from my insurance company (which was not

United) but my surgeon is really good at filing a request for

precert, and he and his office staff handled the whole thing for me.

(Bless them!)

As for why the company is monkeying around with your appeal... well,

call me cynical, but I do believe that there are a number of these

firms that figure they'll discourage you enough, just by delaying,

that you'll give up. I suggest that you not do so. (Insurance

companies have been known to deny having received application

packets -- despite signed return postal receipts -- to " lose " them,

even on a second submission. Just play so many sorts of obnoxious

games.)

Again, your persistance can wear them down. be of good cheer. And do

document each and every conversation you have with any of them. Get

names and phone numbers, and write down dates. As for confirmation in

writing. (they probably won't send it, but you'll be head of the game

if you have a detailed record of your efforts to work with them, and

of who told you what, when.)

Best,

Cammie

> I was denied coverage under my health plan and I appealed it. Well

> in my denial letter to me, they said that " When we receive this

> information, we will complete our review no later than 15 calendar

> days after we receive your request for review. " Well I sent the

> appeal letter on Feb 5 to San and they received it Feb. 9.

> So I called them today to get an update. Apparently San

> sends it to Greensboro, NC! I asked why couldn't I just have sent

it

> to Greensboro. She didn't have an answer. Well Greensboro

received

> it on Feb 18 and the 15 day review would be March 4. She told me

to

> call back in 30-45 days and see if there is a decision. I said

well

> it says in my letter that they will make a decision in 15 days of

> receipt of letter, why should I wait 30-45? She was silent and put

> me on hold and when she came back she told me to call back in 30-45

> days. Why do they say that they'll complete their review in 15

days

> and then tell me to call back in 30-45? Isn't this wrong to do? I

> will call them on March 5 and go through it all again. This is

> wrong! Has anybody else had this saying in their denial letter

from

> United Healthcare? Sorry, I'm venting. Thanks for listening.

Also,

> do I have to wait until the final denial before I can go to the

State

> Insurance Commission? I want to send them a letter explaining that

> United Healthcare is giving me the run-around.

[Guest guest]

I think UHC is infamous for " losing " paperwork and giving you the

runaround. After a year of frustration with them I filed a formal

complaint with my state dept. of insurance, only to find out that my

plan was ERISA and thus not subject to state law. However, if their

written policy is 15 days, then they are on the hook for it legally

with your company since it's a contract and your HR rep should be

able to bring pressure to bear.

As for my case, I sent my appeal to a UHC office in CA, then it got

sent to a UHC office in TX where it sat for a couple weeks. When I

called TX they said it should be in CA so they sent it back. When I

called CA they said no, it should be in TX and sent it back again.

That's about the time I made the trip to file my complaint (and in

the meantime TX sent it back to CA again). What ended up helping was

sending my HR rep a well-documented list of all the lost paperwork

and details on the runaround-in-progress (with a list of dates,

times, and the people I spoke to). Of course after all that I ended

up with a denied appeal anyway! BTW, UHC did manage to " lose "

overnight mails that they signed for, including my x-rays and models.

--Neil

> I was denied coverage under my health plan and I appealed it. Well

> in my denial letter to me, they said that " When we receive this

> information, we will complete our review no later than 15 calendar

> days after we receive your request for review. " Well I sent the

> appeal letter on Feb 5 to San and they received it Feb. 9.

> So I called them today to get an update. Apparently San

> sends it to Greensboro, NC! I asked why couldn't I just have sent

it

> to Greensboro. She didn't have an answer. Well Greensboro

received

> it on Feb 18 and the 15 day review would be March 4. She told me

to

> call back in 30-45 days and see if there is a decision. I said

well

> it says in my letter that they will make a decision in 15 days of

> receipt of letter, why should I wait 30-45? She was silent and put

> me on hold and when she came back she told me to call back in 30-45

> days. Why do they say that they'll complete their review in 15

days

> and then tell me to call back in 30-45? Isn't this wrong to do? I

> will call them on March 5 and go through it all again. This is

> wrong! Has anybody else had this saying in their denial letter

from

> United Healthcare? Sorry, I'm venting. Thanks for listening.

Also,

> do I have to wait until the final denial before I can go to the

State

> Insurance Commission? I want to send them a letter explaining that

> United Healthcare is giving me the run-around.

[Guest guest]

I have United Healthcare, and they too lost stuff they signed for,

and the poor lady at my OS office was going nuts trying to find out

for me what else was needed.

Finally, after delay after delay (and by this time I was already 4

months into my brace, I went to talk to my HR person. She gave me

the name of our consultant that found and hired United Healthcare (a

company called Lassitre-Ware (http://www.lassiter-ware.com/)). She

made one call for me, and suddenly, I got approved. It was

strange! :-)

UHC loses a lot of stuff, and stuff they even signed for.

-Blake

> I was denied coverage under my health plan and I appealed it. Well

> in my denial letter to me, they said that " When we receive this

> information, we will complete our review no later than 15 calendar

> days after we receive your request for review. " Well I sent the

> appeal letter on Feb 5 to San and they received it Feb. 9.

> So I called them today to get an update. Apparently San

> sends it to Greensboro, NC! I asked why couldn't I just have sent

it

> to Greensboro. She didn't have an answer. Well Greensboro

received

> it on Feb 18 and the 15 day review would be March 4. She told me

to

> call back in 30-45 days and see if there is a decision. I said

well

> it says in my letter that they will make a decision in 15 days of

> receipt of letter, why should I wait 30-45? She was silent and put

> me on hold and when she came back she told me to call back in 30-45

> days. Why do they say that they'll complete their review in 15

days

> and then tell me to call back in 30-45? Isn't this wrong to do? I

> will call them on March 5 and go through it all again. This is

> wrong! Has anybody else had this saying in their denial letter

from

> United Healthcare? Sorry, I'm venting. Thanks for listening.

Also,

> do I have to wait until the final denial before I can go to the

State

> Insurance Commission? I want to send them a letter explaining that

> United Healthcare is giving me the run-around.

[Guest guest]

I have United Healthcare, and they too lost stuff they signed for,

and the poor lady at my OS office was going nuts trying to find out

for me what else was needed.

Finally, after delay after delay (and by this time I was already 4

months into my brace, I went to talk to my HR person. She gave me

the name of our consultant that found and hired United Healthcare (a

company called Lassitre-Ware (http://www.lassiter-ware.com/)). She

made one call for me, and suddenly, I got approved. It was

strange! :-)

UHC loses a lot of stuff, and stuff they even signed for.

-Blake

> I was denied coverage under my health plan and I appealed it. Well

> in my denial letter to me, they said that " When we receive this

> information, we will complete our review no later than 15 calendar

> days after we receive your request for review. " Well I sent the

> appeal letter on Feb 5 to San and they received it Feb. 9.

> So I called them today to get an update. Apparently San

> sends it to Greensboro, NC! I asked why couldn't I just have sent

it

> to Greensboro. She didn't have an answer. Well Greensboro

received

> it on Feb 18 and the 15 day review would be March 4. She told me

to

> call back in 30-45 days and see if there is a decision. I said

well

> it says in my letter that they will make a decision in 15 days of

> receipt of letter, why should I wait 30-45? She was silent and put

> me on hold and when she came back she told me to call back in 30-45

> days. Why do they say that they'll complete their review in 15

days

> and then tell me to call back in 30-45? Isn't this wrong to do? I

> will call them on March 5 and go through it all again. This is

> wrong! Has anybody else had this saying in their denial letter

from

> United Healthcare? Sorry, I'm venting. Thanks for listening.

Also,

> do I have to wait until the final denial before I can go to the

State

> Insurance Commission? I want to send them a letter explaining that

> United Healthcare is giving me the run-around.

[Guest guest]

I have United Healthcare, and they too lost stuff they signed for,

and the poor lady at my OS office was going nuts trying to find out

for me what else was needed.

Finally, after delay after delay (and by this time I was already 4

months into my brace, I went to talk to my HR person. She gave me

the name of our consultant that found and hired United Healthcare (a

company called Lassitre-Ware (http://www.lassiter-ware.com/)). She

made one call for me, and suddenly, I got approved. It was

strange! :-)

UHC loses a lot of stuff, and stuff they even signed for.

-Blake

> I was denied coverage under my health plan and I appealed it. Well

> in my denial letter to me, they said that " When we receive this

> information, we will complete our review no later than 15 calendar

> days after we receive your request for review. " Well I sent the

> appeal letter on Feb 5 to San and they received it Feb. 9.

> So I called them today to get an update. Apparently San

> sends it to Greensboro, NC! I asked why couldn't I just have sent

it

> to Greensboro. She didn't have an answer. Well Greensboro

received

> it on Feb 18 and the 15 day review would be March 4. She told me

to

> call back in 30-45 days and see if there is a decision. I said

well

> it says in my letter that they will make a decision in 15 days of

> receipt of letter, why should I wait 30-45? She was silent and put

> me on hold and when she came back she told me to call back in 30-45

> days. Why do they say that they'll complete their review in 15

days

> and then tell me to call back in 30-45? Isn't this wrong to do? I

> will call them on March 5 and go through it all again. This is

> wrong! Has anybody else had this saying in their denial letter

from

> United Healthcare? Sorry, I'm venting. Thanks for listening.

Also,

> do I have to wait until the final denial before I can go to the

State

> Insurance Commission? I want to send them a letter explaining that

> United Healthcare is giving me the run-around.

[Guest guest]

I know about that statute from your reply to somebody else in the

group a while ago. As soon I read it, I asked my attorney (I work in

a law firm) and she looked it up and YES, Virginia also has that

statute. I sent it with my appeal and had her write up a paragraph

explaining the statute. I dont' understand why they're giving me the

run-around. I will keep bringing up this statute when I keep calling

them.

> > I was denied coverage under my health plan and I appealed it.

> Well

> > in my denial letter to me, they said that " When we receive this

> > information, we will complete our review no later than 15

calendar

> > days after we receive your request for review. " Well I sent the

> > appeal letter on Feb 5 to San and they received it Feb.

> 9.

> > So I called them today to get an update. Apparently San

> > sends it to Greensboro, NC! I asked why couldn't I just have

sent

> it

> > to Greensboro. She didn't have an answer. Well Greensboro

> received

> > it on Feb 18 and the 15 day review would be March 4. She told me

> to

> > call back in 30-45 days and see if there is a decision. I said

> well

> > it says in my letter that they will make a decision in 15 days of

> > receipt of letter, why should I wait 30-45? She was silent and

> put

> > me on hold and when she came back she told me to call back in 30-

> 45

> > days. Why do they say that they'll complete their review in 15

> days

> > and then tell me to call back in 30-45? Isn't this wrong to do?

> I

> > will call them on March 5 and go through it all again. This is

> > wrong! Has anybody else had this saying in their denial letter

> from

> > United Healthcare? Sorry, I'm venting. Thanks for listening.

> Also,

> > do I have to wait until the final denial before I can go to the

> State

> > Insurance Commission? I want to send them a letter explaining

> that

> > United Healthcare is giving me the run-around.

[Guest guest]

I know about that statute from your reply to somebody else in the

group a while ago. As soon I read it, I asked my attorney (I work in

a law firm) and she looked it up and YES, Virginia also has that

statute. I sent it with my appeal and had her write up a paragraph

explaining the statute. I dont' understand why they're giving me the

run-around. I will keep bringing up this statute when I keep calling

them.

> > I was denied coverage under my health plan and I appealed it.

> Well

> > in my denial letter to me, they said that " When we receive this

> > information, we will complete our review no later than 15

calendar

> > days after we receive your request for review. " Well I sent the

> > appeal letter on Feb 5 to San and they received it Feb.

> 9.

> > So I called them today to get an update. Apparently San

> > sends it to Greensboro, NC! I asked why couldn't I just have

sent

> it

> > to Greensboro. She didn't have an answer. Well Greensboro

> received

> > it on Feb 18 and the 15 day review would be March 4. She told me

> to

> > call back in 30-45 days and see if there is a decision. I said

> well

> > it says in my letter that they will make a decision in 15 days of

> > receipt of letter, why should I wait 30-45? She was silent and

> put

> > me on hold and when she came back she told me to call back in 30-

> 45

> > days. Why do they say that they'll complete their review in 15

> days

> > and then tell me to call back in 30-45? Isn't this wrong to do?

> I

> > will call them on March 5 and go through it all again. This is

> > wrong! Has anybody else had this saying in their denial letter

> from

> > United Healthcare? Sorry, I'm venting. Thanks for listening.

> Also,

> > do I have to wait until the final denial before I can go to the

> State

> > Insurance Commission? I want to send them a letter explaining

> that

> > United Healthcare is giving me the run-around.

[Guest guest]

I know about that statute from your reply to somebody else in the

group a while ago. As soon I read it, I asked my attorney (I work in

a law firm) and she looked it up and YES, Virginia also has that

statute. I sent it with my appeal and had her write up a paragraph

explaining the statute. I dont' understand why they're giving me the

run-around. I will keep bringing up this statute when I keep calling

them.

> > I was denied coverage under my health plan and I appealed it.

> Well

> > in my denial letter to me, they said that " When we receive this

> > information, we will complete our review no later than 15

calendar

> > days after we receive your request for review. " Well I sent the

> > appeal letter on Feb 5 to San and they received it Feb.

> 9.

> > So I called them today to get an update. Apparently San

> > sends it to Greensboro, NC! I asked why couldn't I just have

sent

> it

> > to Greensboro. She didn't have an answer. Well Greensboro

> received

> > it on Feb 18 and the 15 day review would be March 4. She told me

> to

> > call back in 30-45 days and see if there is a decision. I said

> well

> > it says in my letter that they will make a decision in 15 days of

> > receipt of letter, why should I wait 30-45? She was silent and

> put

> > me on hold and when she came back she told me to call back in 30-

> 45

> > days. Why do they say that they'll complete their review in 15

> days

> > and then tell me to call back in 30-45? Isn't this wrong to do?

> I

> > will call them on March 5 and go through it all again. This is

> > wrong! Has anybody else had this saying in their denial letter

> from

> > United Healthcare? Sorry, I'm venting. Thanks for listening.

> Also,

> > do I have to wait until the final denial before I can go to the

> State

> > Insurance Commission? I want to send them a letter explaining

> that

> > United Healthcare is giving me the run-around.