Re: United Healthcare **ME TOO**

[Guest guest]

I too was recently denied by UHC. My doctors office was supposed to

send in my appeal package today, which included new models, x-rays,

forms, and a pretty stern letter from my surgeon. The actual denial

letter reads " When we receive this information, we will complete our

review NOT later than 15 calendar days after we receive your request

for review. " So, that 30-45 day stuff is definitely crap. I've made

contact with my employer's internal HR contact and she informed me

that the best that she can do is push UHC in turning around the

appeal. I would suggest you do the same.

These people certinly don't make this easy do they...believe me, I

feel your frustration. My insurance APPROVED and PAID FOR my SARPE

back in June 2003 and to quote my doctors letter " It is

unconscionable that you have not approved the second stage of

surgery " . By having my APPROVED SARPE done, there's certainly NO WAY

I can turn back now...and I mean that literally. My teeth are now

primed and ready for surgery.

So, I hope that this provides some encouragement as I am crossing my

fingers for myself. I guess if all else fails, I'll send along a

letter from myself and one on a lawyers stationary. Review boards

will be the last resort, but lets hope that doesn't come.

Best of luck,

> 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.