When You've Been Denied Coverage

If you find that your health insurance organization will not cover the type of hyperhidrosis treatment your physician recommends, enlist the help of your physician (or his or her staff) to question and appeal the organization’s decision. Remember, hyperhidrosis is a serious medical condition and research has shown that it has a significant negative impact on one's quality of life. With this in mind, ask your insurance company's decision-makers to reconsider.

Here's how:

    • Call your insurance company. There’s usually a toll-free or "800" number you can use. You will most likely end up speaking with a customer service representative. Don’t be afraid to ask for his or her manager.
    • Keep good records. Make a note of the dates and times you speak with customer service representatives. Write down their names and the information they give you. Keep any written correspondences regarding your hyperhidrosis treatment and reimbursement in a file.
    • Become hyper-educated. Visit our Scientific Literature section to read and download studies that have been published in major academic and medical journals. This research informs policy decisions and influences the standard of care.
    • Always include your full name, address, and insurance policy or health plan number on all letters, e-mails, or faxes.
    • Appeal. If you’ve already submitted a request for coverage and have been denied, write another letter appealing the decision. Following an "appeals process" is useful if your request is denied, so ask what this process requires. Appeals can take time but are a good way to get in contact with decision-makers.
    • Talk to your human resources (HR) or benefits manager. If you receive your health insurance coverage through your job, your HR manager may be able to help. Keep your HR department informed and give them copies of all correspondence with the insurance company.
    • Ask someone from your physician’s office to talk (or write) to the insurance company. A healthcare professional with an understanding of your condition and situation can explain why a particular hyperhidrosis treatment is necessary, why excessive sweating is a health concern, and how it may affect other aspects of your health. Facilitate this process by printing our sample Letter of Medical Necessity, Hyperhidrosis Preauthorization Request Form, and, for iontophoresis, Medical Insurance Claim Statement Form for the purchase of a home-use iontophoresis machine. Give these documents to your physician to fill out and submit.
    • Follow up. Because it’s easy for letters and calls to get lost in piles of other paperwork, contact your insurance company often. Make sure your requests are being attended to and find out when you may expect a response.
    • If your request has been rejected, keep trying. At some insurance companies, a customer's third request gets forwarded to a person with more responsibility and decision-making power.
    • Contact your state’s insurance commission. Many states have an insurance commission, an organization that oversees the sale and implementation of insurance, including health insurance. Your state insurance commission may be a resource for helping you with health insurance coverage problems.
    • Write to elected state and federal officials. Explain your position and ask for their support.
    • Let us know whether or not your health insurance organization covers your hyperhidrosis treatments. If you have had to go through an appeals process, tell us how it’s going. One of the International Hyperhidrosis Society’s goals is to improve access to hyperhidrosis treatments, including health insurance coverage for treatments. Any information you can provide about your experiences will help us as we work towards achieving this goal. E-mail your comments to This email address is being protected from spambots. You need JavaScript enabled to view it. .
    • Finally, while not technically insurance-related, clinical trials are another potential avenue for patients seeking treatment for hyperhidrosis. Clinical trials help to further medical science's understanding of a condition and its therapy. To learn more about open research studies in hyperhidrosis, how they can make treatment more affordable (even free), and whether you may be eligible to participate in a hyperhidrosis trial, visit the Clinical and Market Research page in the Take Action! section.

Express Sign-Up Here

  1. We email the latest news in hyperhidrosis and excessive sweating directly to you. Stay in the Know!
  2. Email*
    Invalid email address. Please try again.
  3. First Name*
    Please type your first name.
  4. Last Name
    Please type your last name.
  5. Year of Birth. Example 1986*
    Must be 4 digits.
  6.  
  1. Gender*
    Please indicate your gender.
  2. Tell us about you.*





    Please tell us who you are in the hyperhidrosis community.
  3.  
  1. Country*
    Please select your country where you live.
  2. Postal / Zip Code*
    Invalid Input
  3.  
  1. Where do you sweat excessively?*







    Please tell us where you sweat so we can help you and others.
  2. Click 'Submit' to complete your subscription. Thanks!
      

Latest Newsletter Articles

Prev Next Page:

Med Journal Devotes Entire Issue to Hyperhidrosis

Med Journal Devotes Entire Issue to Hyperhidrosis

Hyperhidrosis Has Its Day! NOW! This fall the journal Dermatologic Clinics dedicates an entire issue to excessive sweating including its impact on quality of life, best-practice treatment, and much more. International Hyperhidrosis...

Read more

Stop Bullying Month: Help Us Help Teens

Stop Bullying Month: Help Us Help Teens

Stop Bullying Month: Help Us Help Teens Kids get teased and bullied for all sorts of reasons, including excessive sweating (hyperhidrosis). To honor October as National Stop Bullying Month we're bringing...

Read more

Masters of Sweat: Hyperhidrosis Training at Emory

Masters of Sweat: Hyperhidrosis Training at Emory

Masters of Sweat: Hyperhidrosis Training at Emory Very few dermatology residency programs provide their residents with thorough, up-to-date training in excessive sweating treatment and diagnosis. Thanks to a generous educational grant...

Read more

New Lotion is Like Botox But Without Needles!

New Lotion is Like Botox But Without Needles!

New Lotion is Like Botox But Without Needles! Pause your summer fun for a moment and imagine rubbing-in a lotion (no, not sunscreen!) that can stop excessive sweating for months using...

Read more

 

International Hyperhidrosis Society has received the GuideStar Exchange Seal a leading symbol of transparency and accountability provided by GuideStar, the premier source of nonprofit information.


 

 

International Hyperhidrosis Society is a 2014 Top-Rated Nonprofit!