Zepbound, Mounjaro, Ozempic, Wegovy — or any denied treatment. Answer 7 quick questions, get a personalized medical-necessity appeal letter in minutes. Full PDF packet, deadline guide, external review roadmap.
*Approval rates vary by insurer and plan. AppealWise is a writing tool, not legal or medical advice — review with your doctor before submitting.
No account, no lawyer fees, no 8-page forms. Just your story, turned into the format insurers actually read.
Drug, diagnosis, denial reason (paste it or pick it), what you've already tried, your state.
We address the insurer's exact denial reason with clinical reasoning, your history, and the right structure.
Full letter + checklist + deadline calendar + external review guide for your state. Print, sign, mail or upload.
Everything you type stays in your browser until you hit generate. No account needed.
Most commercial plans give you 180 days from the date on your denial letter; Medicare gives 60 days. Miss the window and you lose the right to appeal entirely — check yours now.
Deadlines are counted from the denial letter date, not from when you received it. When in doubt, check the appeals address and deadline printed on your denial notice.
Straight answers to the questions patients actually ask — drug by drug.
The appeal path for Zepbound — denial reasons, deadlines, and the 180-day external review.
Why prior authorizations fail for Mounjaro, and how to fix each reason.
Step-therapy and quantity-limit denials for Ozempic, and how to appeal without a lawyer.
Weight-loss denials are winnable — here's the specific argument structure.
180 days for employer plans, 60 for Medicare — and a free calculator to find your exact date.
The universal playbook for any GLP-1 denial — know your rights before you pay.
Most denials come from three places: "not medically necessary" (your history wasn't documented well), step therapy (they want you to try cheaper drugs first), or formulary/quantity limits. Each has a different rebuttal — the letter addresses the one you select.
Appeals succeed far more often than people expect — many insurers approve 40-65% of appeals. Success depends on your clinical history and doctor's support. This tool gives you the strongest possible letter in the format insurers read; it can't guarantee any outcome.
Most commercial plans give you 180 days from the date on the denial letter; Medicare gives 60 days. The deadline is counted from the letter date, not from when you opened it — check the dates on your notice, then use the deadline calculator above. Missing the window forfeits your right to appeal, so file before you finish polishing.
No. This is a writing assistant. You and your doctor decide what's true and what to submit. We never diagnose, prescribe, or promise coverage.
Your denial letter or EOB (for the denial reason), the drug name, your diagnosis, and roughly what treatments you've already tried. That's it — everything else is optional placeholders you can fill in.
Nothing is uploaded to our server. Your answers stay in your browser; only the text you see (drug, diagnosis, denial reason) is sent briefly to generate the letter, and we don't store it.
One-time $25. You get the full letter, the PDF packet, unlimited re-runs for this appeal, and the external review guide.