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13 Hurdle 1There is no comprehensive MS center in my area. K Evaluate my options for multi-disciplinary care K Talk to my current provider about herhis recommendations. K Check the CMSC website for a nearby MS center. K Use the AAN directory to find an MS specialist. K Call the MSF for referrals. Hurdle 2 My health insurance wont cover the treatment or test. K Read the documents explaining what my plan covers. K Get necessary pre-authorizations before treatment. K Request a thorough explanation of the reason for a denial. K Ask my doctors office to demonstrate the necessity of treatment. K File an internal appeal. K File an external appeal. Hurdle 3 I dont know when to ask for a referral. K Ask my doctor about early referrals K Does this area require baseline testing K Could treatment now prevent worsening K Ask for a referral when a symptom begins interfering with my life.