Wednesday, May 18, 2011

The Call Before the Appeal

Getting jaw surgery covered by my health insurance plan has been no easy feat, but I've read online that this is pretty par for the course, so I just keep chugging along...

Yesterday, I got some good news when I just decided to go ahead and call the insurance company rather than waiting and sending in a letter. I thought it would be good to clarify the reason for denial.  Well, did you know that when an insurance company is deciding whether or not to provide something, they probably don't even have a copy of your plan handy?

But once I gave her a copy of my plan and talked to her about the specific pages I was referencing, she said she "totally saw where [I was] coming from" and that they're going to call my surgeon to clarify under which category it belongs.  Yay! Progress!

Jared's waiting to get excited until they actually say they're going to cover it, but I get excited and depressed with each new development in the insurance melodrama. The one good thing I can say about it is that it's kept my mind off the surgery itself, which I'm pretty sure I don't want to be thinking about too much.

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