Client Spotlight: PHLP Secures Important Follow-up Test for Cancer Survivor
For cancer survivors, regular imaging tests—e.g., positron emission tomography (PET) scans—are critical to follow-up care after treatment. In the event that the cancer returns, these scans can detect it so that it can be treated right away.
Ruth had already battled thyroid cancer once. Her doctors worried about her cancer recurring and advised her to have a PET scan, but her health plan denied the claim for the scan. Troubled by the denial, she contacted PHLP for help with her next battle.
PHLP instructed Ruth to immediately appeal her health plan’s denial of the PET scan, and began working with Ruth’s doctor to create a compelling letter that contained both clinical information and persuasive language on the medical necessity standard. This new letter was submitted to the insurance plan. PHLP also walked Ruth through the steps of representing herself at her grievance, giving her advice and a confidence boost.
Finally, the health plan reversed their denial. The PET scan would be approved! Ruth was very pleased with the outcome and was extremely grateful for the assistance she received from PHLP. Now, she can focus on working with her doctors to ensure her continued health.
To help clients like Ruth, consider donating to PHLP today.