Working with health plans

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

As a provider, you are best suited to explain to an insurance company a patient's condition, medical history and the importance of the prescribed medication. If a claim for a treatment has been denied, doctors are often needed to write a letter of medical necessity and/or to call a patient's health plan provider as part of the appeal process.

To assist your patients in getting the appropriate care to treat their psoriasis and/or psoriatic arthritis, we offer you these resources to use with health insurance companies.

• Insurance Action Center:
  Access health plan information including websites, formulary (for prescription drugs) and medical policies
• Sample letters:
  Find sample letters for health care practitioners and for patients
• Medicaid Advocacy Guide:
  As a medical professional, you have the opportunity to advocate for Medicaid patients in your state to have 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 would like assistance please contact the Health Policy Manager by
e-mail or at 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.