ebikemom
Well-Known Member
It seems to me that since this is all part of the broken leg and treatment plan and that you are under a physician's care, your appeal has merit. (I am not a lawyer). It is ridiculous to exclude PT because of a timetable that isn't related to medical need. It takes time for a leg to heal and PT would happen after that healing has occurred, which can take more than two months. If you don't have other medical insurance to cover these expenses, it could be worth your time to get a statement of medical necessity from your doctor that connects this with the treatment that is ongoing for your injury. I think the point of this "60 day" thing would be to prevent people from just doing PT because they feel like it, or to delay getting medical care after an injury, but you did not delay. You are under a doctor's care, doing what the doctor recommends. I suggest you appeal.