How to Write an Iontophoresis Appeal Letter to Your Insurance Carrier
IONTOPHORESIS & INSURANCE COVERAGE
Just because your iontophoresis insurance claim was denied doesn’t mean it’s the end of the road. By personally writing and submitting an appeal letter to your insurance carrier, you may be able to get that decision overturned.
This article will help you craft a clear and concise counter-argument for your appeal letter.
This article will help you craft a clear and concise counter-argument for your appeal letter.
Essential Information for Crafting an Appeal Letter
Patient and Policyholder Information
Before we get into the “why” of your appeal, let’s look at the basic info you’ll need to include at the start of your letter.
- Patient name, policy number, and policyholder name
- Accurate contact information for patient and policyholder
Details of the Denial Letter
- Date of denial letter
- Specifics on what was denied
- Cited reason for denial
Patient and Policyholder Information
- Doctor or medical provider’s name and contact information
Addressing Career Impacts of Hyperhidrosis
Career Challenges Caused by Hyperhidrosis
Is your excessive sweating impeding your career growth? Having difficulty finding a job?
Examples of Job Requirements Affected by Excessive Sweating
In the next paragraph of your appeal letter, list ways in which hyperhidrosis has affected your career or employment status.
For example, does your job require you to:
- Handle materials and/or products on a line
- Shake hands with prospects and customers
- Fill out a lot of paperwork
Exploring Alternative Treatment Options
Commonly Prescribed Hyperhidrosis Treatments
When iontophoresis isn’t covered by your insurance plan, carriers often look to see if you’ve attempted other treatment options in the past.
Detailing Failed Solutions in Your Appeal Letter
Use the third paragraph of your appeal letter to detail products/solutions you’ve tried and failed to see results with.
For example, have you been prescribed:
- Creams
- Antiperspirants
- Botox injections
- Oral medications
Calculating the Cost and Inconvenience of Treatment
Financial Burden of Alternative Treatments
When you’re forced to try alternative hyperhidrosis treatment options, those costs add up – and quickly.
Time and Effort Spent on Hyperhidrosis Management
From monthly co-pays to trips to the pharmacy, use the next paragraph of your appeal letter to cite any recurring costs or time commitments.
For example, if you have to:
- Buy new clothes or electronics because you ruin them
- Cover a monthly co-pay
- Drop-off your RX at the pharmacy
- See a psychiatric professional
Highlighting the Emotional Toll of Hyperhidrosis
Personal and Social Challenges
Perhaps the greatest toll hyperhidrosis takes on a person’s life is emotional.
Mental Health Considerations
Close out your appeal letter by speaking from the heart. Talk openly about your emotional struggles or the mental duress associated with hyperhidrosis.
For example, if you have trouble:
- Making friends
- Forming intimate relationships
- Playing sports that once made you happy
- Seeing a psychiatric professional
How to Submit Your Appeal Letter Successfully
Organizing and Submitting Your Documents
If you submit your appeal letter to your insurance carrier by fax, keep a copy of the transmission confirmation. If you submit by mail, send the letter via certified mail with a request of a return receipt.
Follow-Up with Your Insurance Carrier
Finally, organize all submitted materials, your appeal letter, receipts, and records of correspondence in a safe place should you need to reference them again.
On average, most patients who appeal directly to their insurance carrier receive an official notice within 7-10 days that the appeal has been received. If you do not receive confirmation, contact your carrier to make sure your appeal is showing up in their system.
On average, most patients who appeal directly to their insurance carrier receive an official notice within 7-10 days that the appeal has been received. If you do not receive confirmation, contact your carrier to make sure your appeal is showing up in their system.
"Talk to our Treatment Specialists today to see why the Fischer iontophoresis device is the best treatment available for hyperhidrosis and to check insurance benefits."
Jennifer Jacobellis - CEO
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Need additional help navigating the insurance process? Contact our Treatment Specialists at (800)525-3467 to review your symptoms, benefits, and eligibility today.
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