Insurance coverage

[Yolande78620]

I have been diagnosed with myopic degeneration and receive the intraocular injection which is very effective.  My insurance carrier will not cover the cost of the injection (medicine and surgery).  If I had a diagnosis of macular degeneration it would be fully covered.  I am looking for suggestions as to how to make my case with the insurance carrier that this is not a one time event but a chronic condition that if not treated would result in a loss of vision.  Just as MD would result in a similar outcome without treatment.  I would appreciate input as I put together my appeal.
Thanks in advance for your consideration of my question.

[Yolande78620]

My retina specialist recently submitted my medical records and I am pleased to report that my insurance has reviewed my records and will be paying most of the cost for the treatment.  Thanks for your response and I encourage others to have their physicians appeal the payment for this treatment.

[Ray T Oyakawa, MD]

This is  a real problem.  My insurance has not paid for a lot of injections.  It will only get worse in the future.  No suggestions.

Dr. O.