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EXAMPLES OF ITEMS THAT MAY REQUIRE A LETTER OF MEDICAL NECESSITY INCLUDE BUT ARE NOT LIMITED TO: Growth Hormones Home Health Care Sclerotherapy Varicose Vein Treatment Sleep Apnea Procedures Blepharoplasty Phone Consultations Nutritional Assessments Massage Therapy Durable Medical Equipment Breast Reduction Gastric Bypass Renova or Retin A Prescriptions A letter of medical necessity will include: A statement of medical necessity, diagnosis codes, CPT codes for treatment, and a treatment plan that includes duration, frequency, and expected progress. Letters must be updated annually for on-going treatment. |
Exec-U-Care is underwritten by The Lincoln National Life Insurance Company, 8801 Indian Hills Drive, Omaha, NE 68114.
800-552-1213
http://www.LincolnFinancial.com/
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Exec-U-Care is not available to small employers in MD, MA, and NJ. Small employers are defined as any organization with fewer than 50 employees. Exec-U-Care is not licensed in AL, CT, KS, ME, NH, NY, ND, SD, VT, WA, and WV.
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