Be sure to write a clear and simple letter that includes:
If you need to prove “medical necessity,” ask your doctor to write a letter that addresses the following (if applicable in your case):
Even if you don’t need to prove “medical necessity,” ask your doctor to provide supporting information:
One last piece of advice: Follow up and be persistent, while also remaining polite and as calm as possible. If your first request is denied, go to the next level. Use everything in your arsenal to make your case, including national organizations that support patients with your medical condition, social media, your local television station’s consumer watchdog advocate—and even visiting the denials office in person. Remember, insurers anticipate most patients will go away. Do not quietly or easily accept no as an answer.
Jody McCaffrey is an award-winning freelance health and wellness writer based in New Jersey.
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