What can I do when a patient is denied treatment by his or her managed care plan?

An ophthalmologist whose patient is denied treatment should take the following steps and document these actions:

Clearly inform the patient of the medical problems that may result from denial of the recommended treatment. Appeal the denial in writing and insist on the best interests of the patient. Do not give up and ignore the situation if the appeal is denied. Help the patient find an appropriate alternative. Tell the patient that he or she may be liable for the cost of any treatment that was denied.