I have been trying to write this letter for about six weeks now, but I was unsure how to approach writing you. In those six weeks, though, I've learned a lot about myself, and about why I need the care I now seek from you. And so, I will not tell you how I struggle every month to pay rent, even though I could. I will not quote statistics or legalisms in an effort to compel you to make a decision. I will, however, ask for your compassion. (Should those items prove of more interest to the committee, however, I have provided relevant documentation in this appeals packet.)
I am hereby appealing the denial of coverage of necessary blood tests (including risk factor testing) as prescribed by my provider, Bessa Makoni, NP, for the purposes of hormone replacement therapy, something I desperately need. <number> and <number2> are the affected claim numbers.
Today marks the completion of my tenth week on hormone replacement therapy (HRT), which I am on, not as a precursor to any kind of surgery, but entirely for mental health reasons, something that is covered by the Jabil Circuit BCBS plan. The blood tests detailed in the denied claims cover my initial risk-factor testing, as well as the ongoing monitoring of my hormone levels, which is vitally necessary in order for my treatments to be safe and effective.
I do not know if I can possibly explain to you the difference HRT has made in my life, even in these short weeks, but if I could, you would weep as I have. I have never in my life felt as I do now. I have never had this much hope, and I am terrified at what would happen if I was unable to continue down this path.
In my short 29 years on this planet, I have lived as a terribly broken creature. My mind, from as early as I can remember, has been filled with fear and anger, terror and rage that no child should ever feel. But even more so, it has been filled with darkness, depression so deep that I could not even recognize the depths of what I was missing. I felt shattered, so broken that even tears were impossible, no weight or action sufficient to make things right.
And so, I ask for your compassion as I make my case to you. HRT has changed my life, but I cannot long afford it without the assistance that heath insurance provides. Already, I have had to cancel dozens of therapy sessions for want of funds, just so I could still cover this while meeting rent.
I do not know if any of you have ever met someone who is transgender. I do not know if you support trans rights in your own communities. I know not if you regard us with disgust, or pity, or do not think of us at all. I know only that I, like you, am a living, breathing person, and I badly need your help.
If there is anything I can do to provide further information, or even if a member of the committee would just like to speak to me, please do not hesitate to contact me at any time of day.