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What to do!

Osteoporosis & Bone Health | Last Active: May 1 11:27pm | Replies (62)

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@awfultruth

@bluebonnet242 Your prior hip fracture and your t-scores are all totally in support of high risk of fracture. A prior lumbar or hip fracture is about is complete evidence of high risk. Nothing else should be needed. If it was a -3.8 for total hip is definitely high risk. Definitely appeal. Is this an insurance company or Medicare? Persist and you should get this reversed. Good luck.

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Replies to "@bluebonnet242 Your prior hip fracture and your t-scores are all totally in support of high risk..."

Thanks for replying. I have employer insurance through my husband. When appealing is it best to have the doctor appeal for me? What other evidence do you think I should give the insurance company to prove I am high risk?

The denial said in order to appeal to give a statement explaining that you are filing an appeal and a written explanation of why you believe this case should be reconsidered. Please submit all medical records, peer review articles, and comments for consideration that may support your appeal.