Appealing denial of coverage for integrative MD

[NancyD]

Has anyone ever appealed (and won) their insurance company over denial of coverage for office visits and lab tests when the MD practices integrative/alternative medicine?

 

My current insurance (HPHC PPO) does not cover office visits or lab tests when the MD does integrative or alternative medicine. BCBS used to cover it 80%. It wasn't so bad when we were only going 4 times per year but with both of us having Lyme and Bartonella, we must see him monthly and that gets pretty expensive. There is such an inequity in our insurance system and I would like to fight this, but I want to be armed with the best possible strategy and documentation.

 

I would like to find out if anyone has appealed and won over this issue.

 

Thanks.

Nancy