Once you have successfully purchased insurance in the Marketplace or become enrolled in Medicaid, any concerns you have in regard to your policy – including coverage for providers, hospitals, doctors, or procedural or coverage issues – need to be directed to the appropriate party.
If you need to appeal a decision, you should contact your insurance provider directly to find out the appropriate process. Be prepared to supply your contact information and specifically what you are appealing and why; you will also need to collect supporting paperwork and documentation as needed.
Don’t miss deadlines- sometimes policies will have specific timeframes in which you can request an appeal or submit supportive documentation, so make sure you request your appeal and submit your documentation in a timely fashion.