I’m on the Regular Plan at SWA. I was denied my first cath procedure the day before the event. My AME had a peer-to-peer phone call which straightened it out.

The second event was denied 30 mins prior. They said there was nothing I could do so I went back home (out of state). Cost me four days and my AME was at his wits end.

At first I was told to pay for it out of pocket and apply for the reimbursement. Well, I wasn’t about to drop $80K…

I blew up the union and company phone lines, utilized our union-hired intermediary to no avail and then finally made a call to a company VP office which eventually resolved it.

I’ve withheld a lot of detail but this particular part of being denied was very disappointing (not surprising though).