Patient Advocate (old timer, 2000 posts) Joined: May 2002 Posts: 2,152 | I'm certain it depends on the policy, but I would think if it is to improve eating and swallowing, it would. My policy is very gray on speech rehabilation so read yours carefully. It will probably require a letter of medical necessity and prior approval. Many plastic surgery procedures are approved if as a result of another disease and medically necessary.
Dental insurance is the one that doesn't think we need teeth after they janked them all for radiation, but some people have beat that. Think it depends on your policy.
Don't give up if they say 'no' initially, unless they quote you chanpter and verse from policy that says it is not covered. Chase it up the chain. Is this an employee policy and is it jsut being managed by insurance company because if the company is self-insuring, you may have some leverage there if they are willing to override the denial. After all, it is their money.
Take care, Eileen Eileen
---------------------- Aug 1997 unknown primary, Stage III mets to 1 lymph node in neck; rt ND, 36 XRT rad Aug 2001 tiny tumor on larynx, Stage I total laryngectomy; left ND June 5, 2010 dx early stage breast cancer June 9, 2011 SCC 1.5 cm hypo pharynx, 70% P-16 positive, no mets, Stage I
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