Updated March 2026
The most common denial reasons:
Your doctor needs to submit a Letter of Medical Necessity. This should include:
[Your Name] | [Date]
[Insurance Company Name]
RE: Appeal of Denial — [Drug Name], Claim #[XXXXX]
To Whom It May Concern:
I am writing to formally appeal the denial of coverage for [Drug Name] prescribed by [Doctor Name, MD] on [Date].
I have been diagnosed with [diagnosis — e.g., obesity with BMI of XX, Type 2 Diabetes, PCOS]. My physician has determined that [Drug Name] is medically necessary for my condition based on [brief clinical rationale]. I have previously tried [list prior treatments] without adequate results.
Enclosed please find: (1) Letter of Medical Necessity from my physician; (2) Relevant medical records; (3) Supporting clinical guidelines from [ADA/AACE/etc.].
I respectfully request that you reconsider this denial and approve coverage for [Drug Name]. Please respond within [X days per your appeals policy].
Sincerely,
[Your Name]
[Contact Information]
[Member ID]