I am disabled and I am requesting a manual wheel chair from my health insurance company. Because I have already had a power wheel chair, the health insurance company decided it is not "medically necessary" to have a manual wheel chair for me. I would need a strong appeal letter to the medical insurance company with references and citation from the medical study field to show that it is medically necessary for me to have a manual wheel chair. Only a strong letter would be accepted. Please bit only if you are confident that you can write a strong appeal letter with understanding how the medical insurance works and medical conditions. The criteria that the health insurance uses for determination is
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Please read to see if you understand.
The denial letter from the insurance:
Your request for the manual wheelchair with accessories cannot be approved. We see your child has a power wheelchair for mobility. We see the manual wheelchair will be used as a backup to your child's power wheelchair. It is not medically necessary. We based our decision on the Health Plans Clinical Guideline titled Wheeled Mobility Devices: Manual Wheelchairs-Ultra Lightweight (CG-DME-33) and a review of your medical records by a peer clinical reviewer specializing in physical therapy.
Services that are Not Medically Necessary are an exclusion under your plan benefits and are not covered.
Please provide an outline of how you plan to tackle the issue. Word count 1000. Please stay with the price that you propose. I am not willing to negotiate with you on the price once you make an offer. Let's save each other's time. If you want to raise the price, after you bid, please do not bit.
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I can write your appeal letter. I am Canadian. I am a native English speaker. I have a solid understanding of the US (stupid) medical system. I do all my own writing. I am not an agent.