Real Denials. Real Appeals. Real Wins.

“When Blue Cross denied my oncologist-recommended chemo regimen as 'not medically necessary,' I was devastated. I could not believe an insurance company was overruling my oncologist. MediAppeal generated an appeal letter that cited three clinical trials supporting my treatment, the NCCN guidelines, and my insurer's own formulary exception process. The appeal was approved in 11 days. That letter saved me $23,000 in out-of-pocket costs and let me focus on fighting cancer instead of fighting paperwork.”

“My 14-year-old daughter was seeing a therapist for anxiety and depression. After 12 sessions, Aetna said she had reached her 'session limit.' MediAppeal's appeal letter cited Oregon's mental health parity law, the APA treatment guidelines for adolescent depression, and Aetna's own clinical policy bulletin showing no such limit existed for her plan type. All 24 additional sessions were approved. The letter was more thorough than what a lawyer quoted me $2,500 to write. Total recovered: $4,800 in therapy costs.”

“I went to the ER with severe chest pains at 2am. Turned out to be a gallbladder attack, not a heart attack. UnitedHealthcare denied the claim saying it was not a true emergency. MediAppeal's appeal letter cited the federal prudent layperson standard, Illinois insurance code section 356z.22, and UHC's own emergency services policy. The $8,400 bill was reversed in two weeks. I never would have known about the prudent layperson standard without this tool.”

“I tore my ACL on the job and needed reconstructive surgery. Cigna denied it, saying I should try physical therapy first even though my orthopedic surgeon said PT alone would not work for a complete tear. MediAppeal pulled Cigna's own ACL reconstruction medical policy, the AAOS clinical practice guidelines, and my surgeon's clinical notes into one letter. Surgery was approved within a week. Without this, I would have been out $34,000 and unable to work. The $29 I spent on MediAppeal was the best money I have ever spent.”

“After my hip replacement, Humana denied physical therapy beyond 6 visits. My surgeon prescribed 20. MediAppeal's letter cited the Medicare Benefit Policy Manual Chapter 15, the APTA clinical practice guidelines for post-arthroplasty rehab, and my surgeon's specific rehab protocol. All 20 sessions were approved on appeal. Recovered $3,200 in therapy costs. At 67, I did not have the energy to fight this myself. MediAppeal made it straightforward.”

“My rheumatologist prescribed a biologic for my rheumatoid arthritis after two other medications failed. BCBS denied it, saying I needed to try a third cheaper alternative first. MediAppeal's letter documented my treatment failure history, cited the ACR guidelines recommending biologics after two DMARD failures, and showed that BCBS's own step therapy policy only required two prior failures. The medication was approved. Monthly cost would have been $3,800 out of pocket. Over six months, that is $22,800 in savings.”

“I work in healthcare, so I know what a good appeal letter looks like. When my own son's ADHD medication was denied, I tried MediAppeal out of curiosity. The letter cited the AAP clinical practice guideline, referenced the specific DSM-5 criteria met in his evaluation, and quoted our insurer's own behavioral health coverage policy verbatim. As a nurse practitioner, I was genuinely impressed by the clinical accuracy. Appeal approved in 9 days. Saved us $1,200 over the policy year.”

“Anthem denied my MRI for chronic back pain. My doctor ordered it because conservative treatment was not working after 8 weeks. I had paid a lawyer $1,500 for a previous appeal that was rejected. MediAppeal's letter was frankly better. It cited the ACR appropriateness criteria for low back pain imaging, Anthem's own medical policy for advanced imaging, and Tennessee insurance regulations on timely appeals. The MRI was approved and the $2,800 cost was covered. I wish I had found this tool years ago.”

“My 6-year-old son needs ABA therapy for autism. Anthem denied coverage, saying it was 'educational, not medical.' MediAppeal's appeal cited Georgia's autism insurance mandate (SB 1), the AAP policy statement on ABA therapy, and Anthem's own autism spectrum disorder clinical policy. The letter even referenced a recent Georgia Insurance Commissioner ruling on similar denials. Approved for 25 hours per week of ABA. That is $45,000 per year in coverage that was being wrongly denied.”

“My marketplace plan denied a sleep study my doctor ordered for suspected sleep apnea. MediAppeal's appeal letter cited the AASM clinical guidelines, Florida insurance code on medical necessity standards, and my insurer's own sleep disorder policy. The letter itself was excellent and very thorough. The only reason I am giving 4 stars instead of 5 is that the insurer took 45 days to respond, which is not MediAppeal's fault. Sleep study was approved and the $1,800 was covered. The appeal letter did its job.”

“After a car accident, I had three separate claims denied: the ER visit, follow-up imaging, and physical therapy. I bought the Appeal Pack for $79 and generated three appeal letters. Each one cited the specific policy language, medical guidelines, and Texas insurance regulations relevant to that denial. Won all three appeals. Total recovered: $14,200 across the three claims. The letters were professional, cited real sources, and the insurer could not find a reason to deny them again.”

“I manage benefits for a 200-person company. We added MediAppeal's HR Employer plan after several employees complained about denied claims they could not fight on their own. In the first quarter, 14 employees used it and 12 won their appeals. Total recovered across the team: $87,000. The employee portal is clean and easy to use. The aggregate analytics help me identify which insurers are denying the most claims so I can push back during renewal negotiations. This has become one of our most valued employee benefits. Worth every penny of the $199 per month.”