Insurance Coverage - 27 Nov `24Sample Letters to Insurance Coverage for Vitiligo

Insurance Coverage

"Mr./Mrs. <name> has been under my care since <date> and suffers from generalized vitiligo over <parts of the body>, which is now greater than <...%> of his/her body surface area. The patient has a history active vitiligo, which requires immediate treatment to limit further progression of the disease and prevent appearance of new lesions.

Topical and oral medications have been tried first, including <drug name> for <duration period> with no effect.

The patient has also been treated with ultraviolet lights type B (UVB) in our clinic and has shown significant improvement. As vitiligo is usually a life-long condition that requires scheduled follow-up with a low-dose maintenance therapy to minimize risk of relapse, my patient will most likely require UV light treatment for indefinite use. An FDA approved home-based UV light device would be effective for the patient’s condition.

The home UV light unit would be of lower cost than the same treatment at a clinic as vitiligo is a chronic condition generally requiring a minimum of 130 treatments over just the next 12 months. The results of home-based UV therapy are comparable to a clinic-based therapy with a lesser socio-economic burden to a patient. Each in-clinic visit will cost approximately <e.g. $85.00> yielding a minimum yearly treatment cost of more than <e.g. $11,000> whereas a one-time cost of a home UV unit is only <$...>.

Therefore, I am recommending <brand name, model> with Narrowband UVB lamps due to its ease of use, effectiveness and relative safety - derived from the device’s control of maximum exposure time coupled with its physician controlled timer where I can guide the patient’s use through periodic visits in my office. I feel my patient is capable of operating the home UV unit and staying within prescribed exposure times."



FAQOther Questions

  • Will it spread?

    Vitiligo's progression and response to treatment can vary significantly among individuals, making it a particularly unpredictable skin condition. Based on the VALIANT study, her...

  • Which is better for judging vitiligo — Wood’s lamp or dermoscopy?

    A recent study out of India compared the two head-to-head. Both tools correlated fairly well with clinical criteria, but dermoscopy had a slight edge: Wood’s lamp: sensitivit...

  • What causes vitiligo?

    Surprisingly, the causes of vitiligo are yet to be precisely established. Researchers know the cause is pre-wired in your genes, just waiting for a bad luck moment. In about hal...