[CLTann]

Harrie,

It seems to me that the problem is in the word "recommended" in your onc's letter. A stronger word, such as "required", "medically necessary" or equivalent is suggested. Our lawyer member certainly hit all points in her dissertation. Tell the insurance you are on Femara, an A.I. inhibitor, which is medically proven to be a bone density reducing medication. Constant and annual bone density test is mandatory. Without continuing monitoring, the patient may have reached the verge of bone fracturing status without knowing it. The insurance company that denied the bone density test is then liable for the consequence of bone fracture. Sending a copy of the letter to the state medical insurance office is an excellent idea. Good luck.