STATEMENT OF MEDICAL NECESSITY (SMN) - NeedyMeds - needymeds 2025

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Many pharmaceutical companies, state programs, and nonprofits have patient assistance programs (PAPs) that can lower the cost of medicines if you dont have insurance or are underinsured and cant afford your medicine.
A letter of medical necessity explains why your healthcare provider is recommending a specific treatment or product. This document verifies that the expense is for the diagnosis, treatment, or prevention of a disease or medical condition, rather than for general health purposes.
Medical necessity refers to a decision by your health plan that your treatment, test, or procedure is necessary to maintain or restore your health or to treat a diagnosed medical problem. In order to be covered under the health plan, a service must be considered medically necessary.
At NeedyMeds, we are a dedicated nonprofit organization committed to improving access to affordable healthcare for individuals in need. With a passionate team and a deep-rooted mission, we strive to make a meaningful difference in the lives of those facing healthcare challenges.
A Letter of Medical Necessity (LMN) is the written explanation from the treating physician describing the medical need for services, equipment, or supplies to assist the claimant in the treatment, care, or relief of their accepted work-related illness(es).
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Medicare defines medically necessary as health care services or supplies needed to diagnose or treat an illness, injury, condition, disease, or its symptoms and that meet accepted standards of medicine.

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