A Consumer Guide to Handling Disputes with Your Private or Employer Health Plan
| < Return to Report Index | | SECTION 3
GETTING AN INDEPENDENT OPINION -- EXTERNAL REVIEW IN YOUR STATE
If you are not satisfied with your health plan’s decision after completing the plan’s internal appeal process, you may be able to appeal the plan’s denial to your state’s external review program. Most states have external review programs, but the details of these programs vary considerably. External review programs differ from state-to-state in the types of disputes that are eligible for appeal, the process used to resolve the appeal, and the time limits imposed at each step of the process. This section describes the variations found in states’ external review programs. Consult the state-by-state tables in Section 5 of this Guide to learn specific requirements for your state and who to contact for further information. | | < Return to Report Index | |
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