Home › Guides › Letter of medical necessity: what your doctor should include

Letter of medical necessity: what your doctor should include

The letter that wins most medical necessity appeals: what it should say and how to ask for it.

Check my letter free

What it should say

Your diagnosis, the treatments already tried and how they worked, why this service is needed now, and what could happen without it.

Tie it to the plan's criteria

Ask the plan for the clinical criteria it used, and ask your doctor to answer each one.

Attach records

Add the medical records and test results that support the letter.

More guides

Sources

  1. HealthCare.gov: Internal appeals