Health Insurance Appeals
If your doctor recommends a treatment or prescribes a medication that your insurance does not cover, you can appeal.
In a health insurance appeal, a third party reviews your request for coverage and makes a decision.
First, the insurer is required to notify you in writing within a specific time. They must explain why they denied coverage. Also, they have to state your rights and the process for appeal.
Typically, it can take a few weeks for the independent board to render a decision. However, in life-threatening situations, or timeliness risks your ability to fully function, the independent organization can provide a decision within 72 hours of receipt. In those situations, you would request an expedited decision.
Where Can I Get the Lowest Price on Health Insurance?
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