Your Right To Appeal Your Benefits Under The Affordable Care Act

Published: 07th February 2011
Views: N/A
Ask About This Article Print Republish This Article
You may not realize it however you have the right to appeal under the Affordable Care Act of March 2010 any decision to deny payment made by your insurance company. With these new rules in effect it can be easy to see why the insurance companies are not very happy with the governments prying hands getting into their business.

Independent reviewers will now be watching the health insurance companies and doing the investigating and this means that you now have the right to question your insurance company’s right to deny you coverage in any and all instances. In the past these issues have been handled by the insurance companies themselves but now you will have a real person who doesn't work for the health insurance company in your corner.

And the insurance company must not only inform you of any denial however when they do they also have to let you know how to file an appeal of this denial. Once you decide to appeal your plan must provide you with its decision within 72 hours for urgent care, within 30 days for non-urgent care services you haven't yet received, and within 60 days for denials for services you have currently received. And this faster process is crucial to those who are in the middle of a health care crisis with an insurance company that is refusing to pay for life saving treatments.


You will be allowed both an internal and external review possibly even at the same time depending on the urgency of the situation. And if you don’t speak English you should be able to receive information about appeals in your native language as well. Everyone has the right to know and understand their right to an appeal.

The new reform is one that is designed to create a system of Checks and Balances in the health insurance industry and it is designed to benefit both the consumer and the entire industry. In creating a level playing field and helping consumers get the coverage they need and deserve the health insurance companies will have to watch their p’s and q’s as they deny and pay claims this should be of great comfort to consumers everywhere.

The health care reform may not be perfect but in the end it aims to help you get the benefits that you need from your insurance at the time when you need the help the most. Having these new laws in place should help everyone to get a fair shake from their health insurance company.


When you're looking for a Texas health insurance quote from various companies at one time, log onto gohealthinsurance.com. They can provide you with quotes from varying insurance companies whether it is Nevada or Florida health insurance you are searching for.

This article is free for republishing
Source: http://jenb.articlealley.com/your-right-to-appeal-your-benefits-under-the-affordable-care-act-2012858.html


Report this article Ask About This Article Print Republish This Article


Loading...
More to Explore
 


Ask a Professional Online Now
27 Experts are Online. Ask a Question, Get an Answer ASAP.
Type your question here...
Optional:
Select...