Health Care Providers

Working with health plans

Health care providers play a critical role in helping patients access care from their health plans

As a health care provider you have the information needed to explain to an insurance company a patient's condition, medical history and the importance of a prescribed medication. If a claim for a treatment is denied, you may need to write a letter of medical necessity and/or call a patient's health plan provider as part of an appeals process.

To assist your patients in getting the appropriate care to treat their psoriasis and/or psoriatic arthritis, here's a list of resources to help you work with health insurance companies.

• Sample letters:
  Examples of sample letters for health care practitioners and patients
• Medicaid Advocacy Guide:
  Information on how to advocate for Medicaid patients in your state needing access to the full range of available treatments
• Citations for appeals (PDF)
• Patient access to care:
  Resources for your patients to navigate the health care system
• AAD Guidelines of care for psoriasis

If you need assistance, please contact the Foundation's Health Policy Manager by
email or call 800.723.9166, ext. 550.

Please note: The American Academy of Dermatology or your state dermatology organization is the best resource for reimbursement and coding questions.

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