Question:
Seeking Others To Critique Letter of Medical Necessity

   — Jenn J. (posted on July 18, 2003)

July 18, 2003
Thanks Diane, I never can keep those two straight!
   — Jenn J.

July 18, 2003
Hi. I'm not sure but I think it has to say somewhere that the surgery is medically necessary.
   — AmyWollet

July 18, 2003
Here's my advice.... EXPAND, EXPAND, EXPAND! For example, her GERD is being treated with Nexium which only gives sub-optimal relief and is not a solution. Her GERD causes her to have pain each day in her chest, which leads her to *throw up, get sleepy, whatever*. The *vomiting* whatever has been detrimintal to her mental health.... Are you getting what I mean??? Tell about how it effects/affects your life. Make it personal. Complain about every single pain you have. Unfortunately insurers in the US are a pain and the almighty dollar is what they care about. You have to realize they don't care if you die, it would save them money. Tell them why it is cost effective for them to pay for this surgery. Good luck to you.
   — sandieguy