U.S. Citizens living abroad, their spouse, parent, grandparent, etc who is a U.S. citizen and lives abroad is eligible for long term care services offered by CNA. If your application gets rejected for this CNA long term care you can appeal. For this you should sent a letter to them requesting consideration of their decision. In this letter you should reference the physician you wish to submit further information regarding your medical history as per rules of CNA long term care. You can also state the reasons you feel. CNA has full appeals process in place and it will be reviewed by a panel of medical professionals during this process.