Vascular Birthmarks Foundation Forum - View Single Post - Do insurance companies pay for laser treatments?
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Old 09-25-2005, 05:19 AM
juliemn juliemn is offline
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Join Date: Sep 2004
Posts: 95
Default Re: Do insurance companies pay for laser treatments?

Many people have no problem obtaining insurance coverage for laser treatment.* Unfortunately, many others do have to fight to get coverage.* I, myself have not had to appeal for coverage of laser treatment as I live in Minnesota.* Here it is a state mandate that laser treatment for PWS be covered by insurance.*

I know that it is important that the doctor you choose considers your treatment a medical necessity rather than a cosmetic procedure.* If you have problems there are several great appeal letters posted here and on a couple of other sites that emphasize the medical necessity of laser treatment for PWS..i.e. thickening, blebs, hypertrophy, bleeding, etc.* Usually the appeal letters that they post for your reference are ones that have been successful.

PWS IS definitely a medical condition....not cosmetic.* The laser treatments do benefit the cosmetic appearance of the birthmark, but they first and foremost help delay the medical side effects of the birthmark.* Now...if we could just make ALL the insurance companies go for that.* :

Sorry I couldn't be more help.* I'm sure someone who's had to appeal their insurance company will chime in with specifics.

Welcome!

Sites with appeal letters besides the ones posted here:

Birthmarks.com
MSN Vascular Birthmark Support

edited for spelling..jh
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Julie H
Mom to Ben (multiple AVM's, PWS, SWS)
www.MeetBen.com
jshiggie@gmail.com
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