Appeal letter sample: Life Insurance
Template letter for patients to provide to their life insurance company explaining IBD, their treatment and prognosis. Healthcare provider completes letter providing medication history and prognosis.
SAMPLE LETTER BELOW
To Whom It May Concern:
PATIENT has been in my care since (DATE) for the treatment of Crohn’s disease/ulcerative colitis. Over this period of time he/she has done exceedingly well and has had no unexpected visits and or hospitalizations.
PATIENT’S ulcerative colitis/Crohn’s disease is well managed with medication (specify) . He/she has been in clinical remission for nearly X year (s). Because of his/her current wellness and excellent tolerance of medication, I anticipate that PATIENT will remain in remission. His/Her life expectancy is normal. PATIENT’S inflammatory bowel disease, will not be limiting for him/her.
PATIENT’S risk is an average medical risk. Please do not hesitate to contact my office directly for further clarification and if you need any additional information.
For further information, call the Irwin M. and Suzanne R. Rosenthal IBD Resource Center (IBD Help Center): 888.MY.GUT.PAIN (888.694.8872).
The Crohn’s & Colitis Foundation of America provides information for educational purposes only. We encourage you to review this educational material with your health care professional. The Foundation does not provide medical or other health care opinions or services. The inclusion of another organization’s resources or referral to another organization does not represent an endorsement of a particular individual, group, company or product.
About this resource
Published: May 1, 2012
Insurability life (.doc)
File: 28 KB