I have my denial letter in front of me from Great West Health Insurance.
"We have denied your request because based on the clinical information received, the proposed procedure shows promise in this setting but is investigational and not yet approved by the FDA or supported by published peer-reviewed literature or scientific medical evidence. Investigational procedures are specifically excluded under the benefit plan..."
Although they clearly state that -no FDA approval - no ADR approval - they also seem to imply that if I had some "clinical peer data" that perhaps they would consider it????
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