Congratulations in getting the medical treatment likely to be the appropriate medical treatment for your individual case. You are correct in your observation that the insurance clerks who make coverage decisions are not medically knowledgable to make these decisions. You are fortunate in having a knowledgeable physician who is persistent in supporting you. I have been helping lymphedema patients in receiving the compression bandages and garments for 15 years and will testify that if the lymphedema patient gives in without a fight (that means appealing denials) there is zero chance of being reimbursed for these necessary medical items, but if the patient is persistent, there is a 2/3 chance of reimbursement based on my experience. You may read further under the APPEALS tab on my web site at www.lymphactivist.org
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