What do you recommend when the State Commission also denies you based on the same lies your insurance company told? They require that you submit your denials in your external review package.
I wonder if it's a good idea to lawyer up *before* submitting to the State...if you can find a lawyer willing to review the package?
I know you've had a difficult time finding an attorney to take your case. Although I'm not an attorney and the state and federal judicial system is not in my wheelhouse, here are a couple of things you can consider:
Contact your Congressperson or Senator:
Writing to a congressperson or senator can be helpful, especially if the issue highlights broader systemic inequities in healthcare or insurance coverage. Include detailed information about her case and how it reflects a need for legislative or policy intervention for lipedema patients.
Encourage advocating for insurance reforms or laws mandating coverage for lipedema treatments.
This might be especially helpful in light of the state of affairs with insurance after the UHC CEO death and the backlash from hundreds of thousands of people who've shared stories about getting denied mainstream medical treatment. I think everyone who has been denied coverage for treatment even after proving they've met the criteria for their insurance's medical policy should be a loud and obnoxious squeaky wheel to our state and federal representatives.
File a Federal Complaint:
If you believes your rights have been violated under federal law (e.g., Americans with Disabilities Act or Section 1557 of the Affordable Care Act, which prohibits discrimination in healthcare), you can file a complaint with the U.S. Department of Health and Human Services' Office for Civil Rights.
Seek Media Attention:
If you have the ability to share your story publicly, through media outlets or social media, you can draw attention to the plight of lipedema patients.
Highlighting the denial and its impact on your health and quality of life might pressure insurers or policymakers to reconsider.
This is an excellent topic and I am going to write a post on it.
What do you recommend when the State Commission also denies you based on the same lies your insurance company told? They require that you submit your denials in your external review package.
I wonder if it's a good idea to lawyer up *before* submitting to the State...if you can find a lawyer willing to review the package?
I know you've had a difficult time finding an attorney to take your case. Although I'm not an attorney and the state and federal judicial system is not in my wheelhouse, here are a couple of things you can consider:
Contact your Congressperson or Senator:
Writing to a congressperson or senator can be helpful, especially if the issue highlights broader systemic inequities in healthcare or insurance coverage. Include detailed information about her case and how it reflects a need for legislative or policy intervention for lipedema patients.
Encourage advocating for insurance reforms or laws mandating coverage for lipedema treatments.
This might be especially helpful in light of the state of affairs with insurance after the UHC CEO death and the backlash from hundreds of thousands of people who've shared stories about getting denied mainstream medical treatment. I think everyone who has been denied coverage for treatment even after proving they've met the criteria for their insurance's medical policy should be a loud and obnoxious squeaky wheel to our state and federal representatives.
File a Federal Complaint:
If you believes your rights have been violated under federal law (e.g., Americans with Disabilities Act or Section 1557 of the Affordable Care Act, which prohibits discrimination in healthcare), you can file a complaint with the U.S. Department of Health and Human Services' Office for Civil Rights.
Seek Media Attention:
If you have the ability to share your story publicly, through media outlets or social media, you can draw attention to the plight of lipedema patients.
Highlighting the denial and its impact on your health and quality of life might pressure insurers or policymakers to reconsider.
This is an excellent topic and I am going to write a post on it.