Health Insurance 101: How to Appeal Claim Denials and Get Coverage

It’s easy to panic when your health insurance company rejects a claim. After all, a rejected claim generally means you might need to foot the bill yourself. To make it worse, you might disagree with their decision. What many people don’t realize is that you can appeal a claim denial and potentially get insurance coverage.

Moral of the story: A claim denial isn’t always the end of the road. You can speak up if you think your insurer made the wrong call, and there’s a system in place to help you advocate for yourself. Call a representative for help if you’re not sure how to file an appeal with your insurer.

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Written by:

Lauren Smith, MA

Lauren Smith, MA, has worked in health journalism since 2017. Before joining GoodRx, she was the senior health editor and writer for HealthiNation.

Reviewed by:

Sanjai Sinha, MD

Sanjai Sinha, MD, is a board-certified physician with over 20 years of experience. He specializes in internal medicine.

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