CoQ10 Insurance Appeal

[Guest guest]

hi everyone,

with the help of many wonderful people (thank you thank you thank you!),

many websites, much research and a few long lonely nights spent with my

computer (as I too am fighting the insomnia lately)

TAAAAA DAAAAAH !!!!!!

Here is what I have put together so far and what I am going to use

to appeal to our prescription drug plan to get our Co-Q10 covered.

If they don't approve it, I am going to appeal to our medical insurance

carrier (a different company) to have it covered under durable medical

equipment per the FDA regulation.

The first page is a list of what I am going to include when I have all

my

information. I numbered the document by the different sections

included.

I have not received the doctor's letter yet for either of us so I

haven't included

it. I also have not drafted the family letter as I am going to expand

on our

physician's notes in my personal appeal. Also, the state of Indiana

does

not have legislation yet to force the company to comply, so that is

also not there.

Some states do have legislation in place. I know from some previous

emails that

some people here were trying to get a list together of the states with

the

legislation already in place. It would be helpful to get that list

together or have it if

it is complete yet. Also the Health and Human Services Letter I had to

scan and then

insert it in as an image so I hope there aren't any problems with

anyone reading that.

I have saved this in MS Word document format so if you loose the

formatting

don't worry too much. It shouldn't be too hard to figure out. It is 10

pages

the way I have it formatted though. If you can't get this off the

groups page,

please email me directly at wisecam@... and I

will email

it

directly to the address you specify.

Good luck everyone! Lets make these companies pay !!!!

Hope this helps,

AnnMarie-

Complex IV

Married to my best

friend Rick, mom of (14), (11), Cassandra(5 1/2)

and Joe(4) - complex IV, lactic acidosis, CP, tethered chord syndrome,

dysautonomia, and a smile that never quits

:-)