FTM Surgery Support Forums
Insurance appeal - Printable Version

+- FTM Surgery Support Forums (https://www.ftmsurgery.net/forums)
+-- Forum: FTM Surgery Support & Information (https://www.ftmsurgery.net/forums/f-ftm-surgery-support-information)
+--- Forum: FTM Top Surgery (https://www.ftmsurgery.net/forums/f-ftm-top-surgery)
+--- Thread: Insurance appeal (/t-insurance-appeal)



Insurance appeal - whitaker8613 - 05-19-2020

What all documentation should be sent in with an appeal?
Does is help to have an attorney and if so what should they send in or state for the appeal?Huh


RE: Insurance appeal - Joshua - 05-19-2020

(05-19-2020, 09:00 AM)whitaker8613 Wrote: What all documentation should be sent in with an appeal?
Does is help to have an attorney and if so what should they send in or state for the appeal?Huh

"Denials are common so you can expect at least one. Don't get discouraged! Instead, get to work on your appeal application. Read the denial letter carefully to determine the reason for denial and what your appeal will need to address. In your appeal package, include additional letters from medical doctors that expand on the immediate medical need for surgery. I also recommend including a photo of yourself; it helps humanize your application in the eyes of the reviewer(s).
PRO TIP: Mail a copy of your appeal application to the state department that governs insurance in your state."

This is from:
https://www.topsurgery.net/ftm-top-surgery-insurance-coverage-tips.htm
...where there are more links to appeal info and orgs you can contact for help.

More info links:

How-To Guide: Insurance Coverage for FTM Top Surgery In the United States (appeal letter template included)

What should I do if I am denied coverage for transition-related health care?

How to Appeal a Health Insurance Denial

Your Guide to the Appeals Process

Good luck!!