Appeals

At some point during treatment, you may experience a denial of coverage from an insurance company, whether for an imaging scan, prescription drug, treatment, procedure, or biomarker test. Denials can come before care, like when an insurance company denies a prior authorization, but denials can also come after you have already received care. Most people take “no” for an answer. But those who don’t accept the denial, and file an appeal, may actually win and get coverage for the care prescribed by their health care team more than 50% of the time! These free materials and resources demystify an important process that actually help you get the care you need and lower your out-of-pocket costs!