Acupuncture Appeal Letter

Acupuncture & Herbal Medicine Clinic

Acupuncture & Herbal Medicine Clinic

Appeal Letter

Dear Appeals Coordinator:

I wish to appeal your decision to deny payment for the acupuncture therapy I have been receiving. I have already tried the traditional medical treatments provided at your facility and they have been totally ineffective. In contrast, the acupuncture treatments have been extremely helpful.

With the onset of pre-menopause in about 1998, I have been suffering from migraine headaches. With every year, they have become more frequent and more severe. Several days I have had to stay home from work because the pain has been debilitating. These headaches have lasted as long as 2-3 weeks. I have sought medical treatment at Group Health, and have been prescribed high doses of Ibuprofin, Excedrin, and Maxalt MLT. These are painkillers that only make the headaches more tolerable, but do not prevent their occurrence. If I am not quick enough to recognize the onset of the migraine, I am paralyzed with pain. Neither my physician nor I feel it's healthy to keep taking these drugs indefinitely, but this is the only treatment that Group Health seems to recognize.

A second affliction of my pre-menopause has been my inability to sleep at night. This often leads to headaches the following day. My physician prescribed Trazadone to help me sleep. In the last six months, I have gone from taking 1/2 pill to 2 pills every night, and I still have occasional difficulty sleeping.

On April 6, I visited Michelle Wu, a Chinese acupuncturist. I described my problems with migraines and my difficulties with sleeping, and she told me she could help with just 2 visits per week the first two weeks, and thereafter weekly visits for a few months. Eventually, two treatments per month should do the trick. I have had six treatments from Ms. Wu. Group Health paid for the first five, but now refuses to pay for any further treatments.

Since my acupuncture treatments, my quality of life has improved 100%. I have only suffered one headache, and it was of short duration and not severe. I have been able to sleep at night without taking the pills that were prescribed at Group Health. I no longer live in fear of incurring a headache if I exercise, eat the “wrong” food, get stressed, or get-over tired. Friends have told me that my face looks so much healthier, and I attribute that to the fact that I am no longer taking the medications.

I encourage you to reconsider your decision not to pay for my acupuncture treatments. I think it will save you money in the long run, since they have made me healthy and not a chronic patients of yours. I know you must base your decision on costs and proven benefits, and you are probably suspicious of acupuncture. I was a big doubter as well, but I was desperate to find something that works. I am convinced that this treatment has been working for me, and if you are really serious in your commitment to providing the best medical care for your subscribers, you will agree to pay for these costs.

Thank you for your consideration.

Anonymous

Acupuncture and Herbal Medicine Clinic
One Lake Bellevue Drive Suite 105
Bellevue, WA 98005
425.643.3758