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Greetings!
The Obama Administration is announcing both new regulations to
empower consumers to appeal decisions made by their health plans or
insurance companies and the availability of resources that will be
used to help give consumers more control of their health care
decisions. These provisions of the Affordable Care Act will help
support and protect consumers and help end some of the worst
insurance company abuses.
The
new appeals regulations were issued by the Departments of Health
and Human Services (HHS), Labor, and the Treasury. Consumers in
new health plans in every State will have the right to appeal
decisions, including claims denials and rescissions, made by their
health plans. This includes the right to appeal decisions made by
a health plan through the plan's internal process and, for the
first time, the right to appeal decisions made by a health plan to
an outside, independent decision-maker, no matter what state a
patient lives in or what type of health coverage they have.
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