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What can you do if your health insurer rejects coverage for treatment you received?

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If your insurer denies payment, you can make an appeal to the company. If you’re denied, you have a right to ask for an independent review. That’s often done through either your state insurance department or the federal government.

Keep copies of all your bills and EOBs. Also keep any letters from your provider or your insurance company about a dispute. Write down the name and phone number of every person you talk with about your bill. Include the date of the conversation. These records will be very helpful when it comes time to argue your case.

From: Your Guide to Health Insurance Paperwork WebMD Medical Reference

SOURCES:

AARP: "What You Can Learn From Your Explanation of Benefits Statement."

American Academy of Family Physicians: "Understanding Your Medical Bills."

American Cancer Society: "Health Insurance and Financial Assistance for the Cancer Patient."

FamilyDoctor.org: “Understanding Your Medical Bills.”

American Cancer Society: “Covering the costs of cancer treatment.”

Reviewed by Sarah Goodell on September 18, 2018

SOURCES:

AARP: "What You Can Learn From Your Explanation of Benefits Statement."

American Academy of Family Physicians: "Understanding Your Medical Bills."

American Cancer Society: "Health Insurance and Financial Assistance for the Cancer Patient."

FamilyDoctor.org: “Understanding Your Medical Bills.”

American Cancer Society: “Covering the costs of cancer treatment.”

Reviewed by Sarah Goodell on September 18, 2018

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THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. It is intended for general informational purposes only and does not address individual circumstances. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.

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