Sample Appeal Letters
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Support > Insurance & Reimbursement > Health Insurance Appeals

Our sample letters help you appeal insurance denials

FORCE has created sample appeal letters for a variety of screening and preventive services as well as treatments needed by members of our community. Simply click on the link to download the letter template in a Microsoft Word file.

It is important that you personalize the letter to include details about your unique circumstances and include supporting documentation such as genetic test results, doctor's notes, etc. to make a solid case for approval. You should also ask your healthcare provider (surgeon, oncologist, etc.) to submit an insurance appeal on your behalf or to write a letter of medical necessity which you can include with your written appeal.

Need help with an appeal for a service or situation not listed? Email us for assistance.

Genetic Services

Cancer Screening

Surgery