Originally Posted by
Quint
Maybe I didn't explain it well, but the alternate med, the one UHC wants us to use, is the one our pediatrician originally prescribed. We tried it, with poor results. The way I understand it, is if you are in this situation, you must try the med that UHC recommends for a certain amount of time, if it doesn't work, then you can appeal your case. We have already tried the one they want and I won't put my daughter through that again. We explained this to UHC in our appeal. They don't care.
This appeal process is interesting, seems like there should be a third party. Basically, you're appealing to the company that told you to pound sand. You asked if you could stop pounding sand, they evaluated the situation and decided that it was in their best interest if you kept pounding sand. Not very fair.