I write this through tears because I cannot imagine my request to reconsider the stand on his surgery would be turned down. To be turned down is unconscionable. You are then saying that you and your independent consultants can determine need in a more efficient way than a doctor who has treated my son for 17 years. I just know that you can see this and realize that medical necessity involves more than being able to breathe. I do not believe this is the intent of the policy.
Every person deserves normalcy if possible.
We are not talking about frivolous surgery in this case. Please reconsider your stand.