Re: Insurance denies dietician coverage

[Guest guest]

,

I'd probably say something about the diet being recommended by the neuro, but it

needs to be administered and overseen by a registered, licensed dietician. The

diet is constantly being adjusted and fined tuned. That is not a neuros

specialty (adjusting ratios and given diet recommendations). If the neuro did

this for us, it would cost $2,000 per hour instead of the much smaller fees the

dieticians charge us.

Good Luck!

Jim Regitz

jim.regitz@...

Insurance denies dietician coverage

I was looking for some ideas on wording for an appeal to our insurance

company. Our dietician f/u has been denied because our plan only covers

diabetic counseling. We initiated the diet with a different insurance

company. I know from past experience that I need to be cautious in the

words that I choose. My neurologist has already sent me a letter to submit.

His is short and two the point. I am not sure why I have to provide a

letter as well. Probably another step so the less likely a person will

appeal!! Any help with wording would be greatly appreciated!

Thanks,

Rice

[Guest guest]

,

I'd probably say something about the diet being recommended by the neuro, but it

needs to be administered and overseen by a registered, licensed dietician. The

diet is constantly being adjusted and fined tuned. That is not a neuros

specialty (adjusting ratios and given diet recommendations). If the neuro did

this for us, it would cost $2,000 per hour instead of the much smaller fees the

dieticians charge us.

Good Luck!

Jim Regitz

jim.regitz@...

Insurance denies dietician coverage

I was looking for some ideas on wording for an appeal to our insurance

company. Our dietician f/u has been denied because our plan only covers

diabetic counseling. We initiated the diet with a different insurance

company. I know from past experience that I need to be cautious in the

words that I choose. My neurologist has already sent me a letter to submit.

His is short and two the point. I am not sure why I have to provide a

letter as well. Probably another step so the less likely a person will

appeal!! Any help with wording would be greatly appreciated!

Thanks,

Rice

[Guest guest]

,

I'd probably say something about the diet being recommended by the neuro, but it

needs to be administered and overseen by a registered, licensed dietician. The

diet is constantly being adjusted and fined tuned. That is not a neuros

specialty (adjusting ratios and given diet recommendations). If the neuro did

this for us, it would cost $2,000 per hour instead of the much smaller fees the

dieticians charge us.

Good Luck!

Jim Regitz

jim.regitz@...

Insurance denies dietician coverage

I was looking for some ideas on wording for an appeal to our insurance

company. Our dietician f/u has been denied because our plan only covers

diabetic counseling. We initiated the diet with a different insurance

company. I know from past experience that I need to be cautious in the

words that I choose. My neurologist has already sent me a letter to submit.

His is short and two the point. I am not sure why I have to provide a

letter as well. Probably another step so the less likely a person will

appeal!! Any help with wording would be greatly appreciated!

Thanks,

Rice

[Guest guest]

- my .02 cents............... write the letter " from the heart. "

Share with them the dangers of " if something goes wrong. " The docs do

not have the expertise to make quick adjustments to the mealplans, like

the dietitians do. Registered dietitians are food experts, neurologists

are not. Let them know that this is not a simple " do not eat this......

do eat that.... " kind of diet. Explain that every bite of food it

critical for seizure control and the precision is essential. Let them

know that a mealplan that is slightly off could result in a status

seizure and an ER visit, not to mention brain damage(don't come out and

say it, but let them know that liability issues could exist). Don't hold

back. I would LOVE to proof your letter and offer suggestions (can you

tell this issue rubs me a little wrong!.

Kathy - 's mom

On Mon, 19 Apr 2004 14:52:26 -0400 " Rice "

writes:

> I was looking for some ideas on wording for an appeal to our

> insurance

> company. Our dietician f/u has been denied because our plan only

> covers

> diabetic counseling. We initiated the diet with a different

> insurance

> company. I know from past experience that I need to be cautious in

> the

> words that I choose. My neurologist has already sent me a letter to

> submit.

> His is short and two the point. I am not sure why I have to provide

> a

> letter as well. Probably another step so the less likely a person

> will

> appeal!! Any help with wording would be greatly appreciated!

>

> Thanks,

>

> Rice

>

>

>

>

[Guest guest]

- my .02 cents............... write the letter " from the heart. "

Share with them the dangers of " if something goes wrong. " The docs do

not have the expertise to make quick adjustments to the mealplans, like

the dietitians do. Registered dietitians are food experts, neurologists

are not. Let them know that this is not a simple " do not eat this......

do eat that.... " kind of diet. Explain that every bite of food it

critical for seizure control and the precision is essential. Let them

know that a mealplan that is slightly off could result in a status

seizure and an ER visit, not to mention brain damage(don't come out and

say it, but let them know that liability issues could exist). Don't hold

back. I would LOVE to proof your letter and offer suggestions (can you

tell this issue rubs me a little wrong!.

Kathy - 's mom

On Mon, 19 Apr 2004 14:52:26 -0400 " Rice "

writes:

> I was looking for some ideas on wording for an appeal to our

> insurance

> company. Our dietician f/u has been denied because our plan only

> covers

> diabetic counseling. We initiated the diet with a different

> insurance

> company. I know from past experience that I need to be cautious in

> the

> words that I choose. My neurologist has already sent me a letter to

> submit.

> His is short and two the point. I am not sure why I have to provide

> a

> letter as well. Probably another step so the less likely a person

> will

> appeal!! Any help with wording would be greatly appreciated!

>

> Thanks,

>

> Rice

>

>

>

>

[Guest guest]

- my .02 cents............... write the letter " from the heart. "

Share with them the dangers of " if something goes wrong. " The docs do

not have the expertise to make quick adjustments to the mealplans, like

the dietitians do. Registered dietitians are food experts, neurologists

are not. Let them know that this is not a simple " do not eat this......

do eat that.... " kind of diet. Explain that every bite of food it

critical for seizure control and the precision is essential. Let them

know that a mealplan that is slightly off could result in a status

seizure and an ER visit, not to mention brain damage(don't come out and

say it, but let them know that liability issues could exist). Don't hold

back. I would LOVE to proof your letter and offer suggestions (can you

tell this issue rubs me a little wrong!.

Kathy - 's mom

On Mon, 19 Apr 2004 14:52:26 -0400 " Rice "

writes:

> I was looking for some ideas on wording for an appeal to our

> insurance

> company. Our dietician f/u has been denied because our plan only

> covers

> diabetic counseling. We initiated the diet with a different

> insurance

> company. I know from past experience that I need to be cautious in

> the

> words that I choose. My neurologist has already sent me a letter to

> submit.

> His is short and two the point. I am not sure why I have to provide

> a

> letter as well. Probably another step so the less likely a person

> will

> appeal!! Any help with wording would be greatly appreciated!

>

> Thanks,

>

> Rice

>

>

>

>

[Guest guest]

Doesn't Dr Freeman have a sample letter about the diet for ins companies

in his book? We don't work under that system here in New Zealand - all

hospital care for things like the keto diet are under our public health

system, but I do remember seeing mention of it in there somewhere??

----- Original Message -----

> ,

>

> I'd probably say something about the diet being recommended by the

neuro, but it needs to be administered and overseen by a registered,

licensed dietician. The diet is constantly being adjusted and fined tuned.

That is not a neuros specialty (adjusting ratios and given diet

recommendations). If the neuro did this for us, it would cost $2,000 per

hour instead of the much smaller fees the dieticians charge us.

>

> Good Luck!

[Guest guest]

-Our insurance denied coverage, too. Our doctor had to call the

company personally. If you can't get coverage, maybe you could

purchase the keto program the dieticians use. My husband wrote the

program we use, and it is wonderful having the flexibility to

constantly alter amounts depending on what we have on hand and what

my son wants.

-- In ketogenic , " Rice " <srice@c...> wrote:

> I was looking for some ideas on wording for an appeal to our

insurance

> company. Our dietician f/u has been denied because our plan only

covers

> diabetic counseling. We initiated the diet with a different

insurance

> company. I know from past experience that I need to be cautious

in the

> words that I choose. My neurologist has already sent me a letter

to submit.

> His is short and two the point. I am not sure why I have to

provide a

> letter as well. Probably another step so the less likely a person

will

> appeal!! Any help with wording would be greatly appreciated!

>

> Thanks,

>

> Rice

>

>

>

>

[Guest guest]

-Our insurance denied coverage, too. Our doctor had to call the

company personally. If you can't get coverage, maybe you could

purchase the keto program the dieticians use. My husband wrote the

program we use, and it is wonderful having the flexibility to

constantly alter amounts depending on what we have on hand and what

my son wants.

-- In ketogenic , " Rice " <srice@c...> wrote:

> I was looking for some ideas on wording for an appeal to our

insurance

> company. Our dietician f/u has been denied because our plan only

covers

> diabetic counseling. We initiated the diet with a different

insurance

> company. I know from past experience that I need to be cautious

in the

> words that I choose. My neurologist has already sent me a letter

to submit.

> His is short and two the point. I am not sure why I have to

provide a

> letter as well. Probably another step so the less likely a person

will

> appeal!! Any help with wording would be greatly appreciated!

>

> Thanks,

>

> Rice

>

>

>

>