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L300 GO appeal update








L300 GO second appeal update: DENIED

Okay, man, them's fightin' words. I have 30 days to file a third appeal, which I will do.

The justification for this answer? Once again, a committee, individual, or robotic judge (Who knows?) decided that After review of the information submitted and your summary plan description, it was determined this service is not medically necessary, so it is not covered by  your plan. 
The reply further states this device has not been shown to be helpful for foot drop related to multiple sclerosis.


Well, UMR, PEIA, you evidently do not know how research of said device(s) works.  Get out of the laboratory and put on your human observation goggles. Wall what better way to determine effectiveness than to put the real life aspect into your research. If a muscle is not being challenged, that muscle will eventually die. Electric stimulation provides the challenge that I can no longer provide on my own power. Without human interaction how can the effectiveness of any treatment be successfully determined? How can a paper trail possibly really KNOW that?

Yes, statistics are important in proving a theory, but those numbers and standards can only be truly tested with human interaction. We're talking about a human being offering first hand information that any 21st century technology can never realize.

Oh, but that's common sense, right? We all know of the demise of common sense. The obituary probably hangs on the wall of every office building in existence; but does anyone actually read it?

So, I once again arm myself with words (that's all I got) actual experience (for what it's worth) to go forth and appeal once again.

Until next time,
Lisa
The Lady with the Cane







https://www.amazon.com/Have-Whats-Your-Super-Power/dp/1882658442/ref=sr_1_fkmrnull_1?keywords=i+have+ms.+what%27s+your+superpower&qid=1556457191&s=gateway&sr=8-1-fkmrnull

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