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[US] US coverage check-in for today - by state?

Started by Nate_n · · 55 replies · 310 views
#42

Curious what state you're in since PA sounds smoother than most of what I'm hearing. I'm in NY and my renewal came back without much drama, which I did not expect given all the second-year horror stories

#43

Arkansas here and mine sailed through on the first attempt, no appeal letter or anything. Little Rock, so maybe the plan I'm on just happens to be generous, but I keep waiting for the other shoe to drop at renewal.

#44

cT here, Hartford area, and mine went through without a fight, which surprised me since I'd braced for one. What I'm doing now is saving every approval letter and EOB in one folder so renewal doesn't catch me flat.

#46

PA here and mine covered it right away, down about 14 lbs so far. The appeal stories in this thread are making me glad I never had to fight that battle, but I'm starting a folder of my paperwork now anyway.

#47

NY here and mine approved it on the first try, which honestly surprised me since I'd braced for a fight. My paperwork folder is a mess of screenshots and emails though, so I'm taking notes from the organized folks in here.

#48

Curious what state you're in? I'm in Texas and mine has been smooth so far, though I've heard from others here that it really comes down to which plan you're on, not the state.

#50

Georgia here and mine flipped mid year, approved in January then denied at renewal with no plan change. Did yours stay put the whole time or did you have to re-fight it?

#53

What I keep running into here in Texas is that the plan sponsor theory holds even inside one company, different locations get different third party admins and the answers change

#54

Do you know yet if your plan sponsor is self-funded or using a standard carrier? That seems to be the fork in the road, and it might tell you what to expect before you have to fight anything.

#55

Georgia here and mine went through on the first try too, though a neighbor on a marketplace plan is still stuck in appeal. Makes me wonder if the employer part is really the whole story or just luck of the draw

Showing 41–56 of 56 posts

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