C
ChristineN
Guest
my health insurnace provided by my company is a managed care provider, based in northeast indiana. in aug 2000, i requested insurance approval for bariatric surgery. i have been denied 3 times and have gone through an appeal hearing. the first 2 denials were sighted on 2 issues. 1)not medically necessary and 2) ic27-8-14.1 which states; for which nonsurgical treatment that is supervised by a physician has been unsuccessful for at least 18 consecutive months. through the appeal process they dropped the not medically necessary.
i want to do one last appeal befoe i agree to do the 18 month physicain supervised diet requirement. i found a clause in the indiana bill 212 which the 18 month requirement is drawn from and hope that it is an out for me.
section 4 senate enrolled act no. 212
(b)ic27-8-14.1,as added by this act,applies to policies issued,delivered,amended,or renewed after june 30,2000.
my policy was renewed january 1,2000 & i requested insurance approval in aug 2000, does this axonerate me from ic27-8-14.1? (18 consecutive month physician supvised diet)
my policy is renewed every january 1, & my first denial was january 2001.
i want to do one last appeal befoe i agree to do the 18 month physicain supervised diet requirement. i found a clause in the indiana bill 212 which the 18 month requirement is drawn from and hope that it is an out for me.
section 4 senate enrolled act no. 212
(b)ic27-8-14.1,as added by this act,applies to policies issued,delivered,amended,or renewed after june 30,2000.
my policy was renewed january 1,2000 & i requested insurance approval in aug 2000, does this axonerate me from ic27-8-14.1? (18 consecutive month physician supvised diet)
my policy is renewed every january 1, & my first denial was january 2001.