Re: Letter to the insurance company

[Guest guest]

Kotesh, read your BC/BS policy carefully. Pay close attention to " Covered

Benefits " wording and the " Exclusions " wording. 

 

Most insurance companies follow Medicare, if Medicare pays for it they will also

pay for it. You can quote from Medicare.gov covered benefits.  Look at page 42

of the Medicare & You handbook.  It discusses the covered benefit for Telehealth

and gives an example of what that means.

 

In today's technology more and more people will be treated via two-way

telecommunication methods for consultations. 

 

Hopefully these suggestions will give you a direction in your appeal letter to

BC/BS. Good luck.

 

Joyce

[Guest guest]

Yes, I would like that info as well.

Thanks,

Darren

>

> Hi All,

>

> We have BCBS IL insurance. They are not covering phone consultations. They

> asked me to write a letter for appeal explaining why they have to cover it.

> I am looking for a sample letter that explains why we need to see a

> doctor and the need of it.

>

> I appreciate your help.

>

> Thank you

> Kotesh

>

>

>