this post was submitted on 07 Oct 2025
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United States | News & Politics

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This Little-Known Appeal Could Force Your Insurer to Pay for Lifesaving Care. Here’s How to File It. (www.propublica.org)
submitted 8 months ago by homesweethomeMrL@lemmy.world to c/usa@midwest.social
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cross-posted from: https://sh.itjust.works/post/47489689

When a health insurance company refuses to pay for treatment, most people begrudgingly accept the decision.

Few patients appeal; some don’t trust the insurer to reverse its own decision.

But a little-known process that requires insurers and plans to seek an independent opinion outside their walls can force insurers to pay for what can be lifesaving treatment. External reviews are one of the industry’s best-kept secrets, and only a tiny fraction of those eligible actually use them.

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