Hair Loss Treatment Is Not a Medical Necessity? Insurance Denied

by Y on January 24, 2023

My insurance company has just sent me a letter to inform me that there is a “Lack of Medical Necessity” for the Kenalog (Triamcinolone Acetonid) Injections to treat my new hair loss situation.

This isn’t for my female pattern baldness, this is for the diffuse alopecia areata I got last year after an insanely stressful situation I went through – mind and body in 2022. To learn about that, please watch my recent Hair Loss/ Life Update video: https://youtu.be/_8kVx2P7PYg

The steroid injections are to hopefully assist in resolving this new hair loss and get me back to just having the one I’ve had since 1999, androgenetic alopecia. I actually didn’t expect that they were going to pay, but I did receive an approval letter. I was pleasantly surprised when I got the letter stating I was approved. I thought, this must be the first hair loss break I got… ever in 24 years, only for it to be followed by a rejection letter. Citing that I was diagnosed with hair loss (duh), and that the service requested (Steroid Injections) is being “Modified” aka Denied, because there is a “lack of medical necessity.”

This just slapped me. It shouldn’t but it did. “Lack of Medical Necessity.” You have got to be kidding me.

Please find another loophole of terminology to deny the service, but don’t put it that way. Clearly no one at the insurance company has ever had hair loss or known a person dealing with it, and the emotional toll it can take on both men and women.

Depression
Anxiety
Social Withdrawal
Self Esteem Erosion

The list goes on. If you don’t think it’s a physical issue, then how about the mental side? Denied. I’ll pay for it out of pocket, but their choice of terminology is extremely insulting.

Share your thoughts below. Do you think hair loss treatment is a medical necessity?

{ 1 comment… read it below or add one }

Ann February 1, 2023 at 1:37 pm

Did the treatment work?
How much was the out of pocket expense.
I would like to look into the injections; however I would need to
hear from those that have already done so first.
I would need to do some research outside of ‘main stream Western Medicine Practices’ to determine safety, direct effects, etc.
However, I would surely file an appeal.
Insurance is a racquet/scam.
It’s simply a system based on extortion.
Most Insurance companies always deny claims upon receipt.
It’s up to us to stand up to these power mongers.
They know most ppl are intimidated -reading thru a contract difficult with language and nomenclature can be confusing at best.
We must always appeal.
I have been quite successful in the past using this method.
Any thoughts here?

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