I represented a client who suffered from Guillain
Barré Syndrome (GBS). The client obtained a new job that provided
health insurance coverage. Her Guillain Barré Syndrome (GBS) was
exacerbated and she and her health care provider sought pre-certification
for in-patient rehabilitation hospitalization from her new health insurance
carrier. The health insurer denied coverage based on a pre-existing condition,
and the patient appealed the denial. I convinced the health care facility
to accept a letter of protection which is an agreement between the
patient and the health care facility that the health care facility
would be paid at the successful conclusion of the appeal against the managed
care health insurer. Ultimately, the appeal was successful, the rehabilitation
facility was paid, and the client recovered dramatically as a result of
the inpatient rehabilitation program.
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