 Patient Advocate (old timer, 2000 posts)
Joined: May 2002 Posts: 2,152 | I agree, if you need the letter, it needs to be written by your doctor, medical if it is medical that is paying for it, dental if dental insurance.
Who did you speak to at BCBS? A peon or a supervisor? Did you point out that this has been covered since 01 ansd give them dates of service for recent coverage? You need to call back and find out fron a SUPERVISOR why the change in coverage and what the letter needs to state so that is covered again. It could be being denied because they need info that the condition still exists. They do this to me all the time - like a total laryngectomy is going to go away. I only wish. I have an item that I have a letter for, but I have to call for any override eveytime to get it processed at the correct price. Can't teach them computers to do anything out of the ordinary. Good luck and keep fighting it.
Take care,
Eileen
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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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