National Consumers League

Worker Rights

Worker Rights

Denied health claim? Appeal it!

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Denied health claim? Appeal it!Have you run into problems with your health plan? You’re not alone! Half of all consumers experience problems with them, but fewer than 1 in every 10,000 tries to fight, or appeal, when a claim has been denied. But appealing a denied claim works—maybe more often than you’d think!

Forty percent of people who file appeals with their health plan are successful. Ten percent of claims denied by a health plan turn out to be a simple mistake, and those are usually resolved quickly. When you find out that a medical service you’ve received (like a visit to the emergency room, a visit to an out-of-plan provider, or a test your doctor asked you to take) has been denied by your health plan, it is important to know your rights. The first denial by your health plan is not the final word, and there are processes in place to appeal these decisions.

NCL’s new brochure can help you be your own best advocate! By doing a little legwork, and following some basic procedures, you may be able to successfully appeal the decision and get the coverage you need for your claim. Download our brochure to learn a few basic steps to guide you in the process.