Consumers who are enrolled in New York State regulated health plans such as fully-insured commercial plans, qualified health plans, or Medicaid managed care plans, have the right to appeal to the New York State Department of Financial Services (DFS) when their plan issues a final denial for health care services as not medically necessary, experimental/investigational …
If you are uninsured and receive a medical bill, what can you do? Read more.
If you have commercial health insurance and receive a medical bill, what can you do? Read more.
If you have Medicare or Medicaid and receive a medical bill, what can you do? Read more.
Read about key terms related to health insurance. Understanding these terms will help you understand how to use your coverage.
What Should I Do If I Receive a Denial? If your health plan refused to pay for a medical service or denied a prior authorization request, you have the right to fight the denial through your plan’s appeal process. But before you file your appeal, there is some information you need to know. Start by …