Health Insurance 101: How to Appeal Claim Denials and Get Coverage
Learn about the process to appeal claim denials if your health insurance company rejects a claim and you disagree with their decision.
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.
References
Health Insurance Marketplace. (n.d.). Appealing a health plan decision: how to appeal an insurance company decision: external review. Healthcare.gov
Health Insurance Marketplace. (n.d.). Appealing a health plan decision: how to appeal an insurance company decision: internal appeals. Healthcare.gov