Contest Carrier New Restriction on Annual Scan to Check Cancer Survivor?

The group major medical certificate of coverage (ACA compliant coverage), which I forwarded to the insured EE, has instructions on how to appeal a carrier decision. I am interested in how often this is successful in your experience as benefits professionals.

This group includes about 30 EE's,some are personal friends. Not that I would do any differently, but it's a sensitive matter.

The carrier has declined to approve the annual scan for recurrence of cancer that my client has been used to receiving for the last at least 2 years.

I assume the carrier has some internal guidelines they follow
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