NEDA TOOLKIT for Parents
Sample Letter #5
Follow-up letter to enrollment department after coverage was terminated retroactively to June 1st by the
insurance company’s computer.
DATE To: NAME OF CONTACT PERSON
INS. CO. NAME & ADDRESS
From: YOUR NAME & ADDRESS
Re: PATIENT’S NAME
DOB (Date of Birth)
Insurance ID#
Case #
Dear [NAME]:
I am sure you can imagine my shock at receiving the attached letter [copy of the letter you received] that my
[son/daughter] received about termination of coverage. [NAME] has been receiving coverage from [INSURANCE
COMPANY] for treatment of serious medical issues since [DATE]. We have received wonderful assistance from
[NAME], Case Manager [PHONE#]; [NAME], Mental Health Clinical Director [PHONE#]; and Dr. [NAME], [INS. CO.]
Medical Director [PHONE #]. I am writing to describe the timeline of events with copies to the people who have
assisted us as noted above.
In [DATE], [ PATIENT NAME] requested a temporary leave of absence from [UNIVERSITY 1 NAME] to study at
[UNIVERSITY 2 NAME] for one year. [He/she] was accepted at [UNIVERSITY 2 NAME] and attended the [DATE]
semester. At the end of the spring semester [PATIENT NAME’S] medical issues intensified and [PATIENT NAME]
returned home for the summer. The summer of [YEAR] has been very complicated and a drain on our entire family.
The supportive people noted earlier in this letter made our plight bearable but we were constantly dealing with
one medical issue after another.
At the beginning of August [PATIENT NAME] and the treatment team members began to discuss [PATIENT NAME’s]
needs for the fall semester of [YEAR]. As far as our family was concerned, all options [UNIV. 1, UNIV. 2, & several
local options full and part-time] needed to be up for discussion to meet [patient name’s] medical needs. We hoped
that with the help of [his/her] medical team we could make appropriate plans in a timely fashion.
During [PATIENT NAME’s] appointments the first two weeks of August, the treatment team agreed that [PATIENT
NAME] should continue to live at home and attend a local university on a part-time basis for the fall semester.
This decision was VERY difficult for [PATIENT NAME] and our family. [PATIENT NAME ]still hopes/plans to return to
[UNIV. 1] in [date] as a full-time student. [He/she] has worked with [his/her] [UNIV. 1] advisor since [date] to work
out a plan that might still allow [him/her] to graduate with [his/her] class even if [he/she] needed to complete
a class or two in the summer of [YEAR]. This decision by [NAME] was difficult but also a major breakthrough/
necessity for [his/her] treatment.
After a workable plan was made, I called the enrollment department at [INS. CO. NAME] to gain information
about the process of notification regarding this change in academic status due to [his/her] current medical needs.
[INS. EMPLOYEE NAME] communicated to me that I needed to have my child’s primary care physician write a
letter supporting these plans. This letter is forthcoming as we speak. As soon as [PATIENT NAME’s] fall classes are
finalized on [date]’ that information will also be sent to you.
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