Sample Insurance Appeal Letter

Below is a sample letter to assist patients who have been denied coverage by their insurance companies in receiving reimbursement/coverage for compression bandages or garments. Be sure to read it carefully and fill in the blanks as necessary, customizing it to your specific situation. Have your physician sign and send it, retaining a copy for your records. Good luck and let us know how it goes!

Date: [Date]

To:  Medical Affairs Appeals Dept.

From:  [Doctor], M.D.