States have passed hundreds of laws to protect people from wrongful insurance denials. Yet from emergency services to fertility preservation, insurers still say no.
Looks like you can report them to your local State Insurance Agency
By June, she was so fed up she decided to submit a complaint to the Texas Department of Insurance. Five days later, she received a call from an Ambetter employee apologizing and saying they would process the procedure as an emergency and pay up.
Unless:
Not all health plans have to follow state mandates. About 65% of employees who get insurance through their jobs work for companies that pay directly for health care. Those companies often hire insurers solely to process claims. Known as self-funded plans, they are regulated by the federal government and exempt from state coverage requirements. Employers increasingly are turning to these types of plans, which tend to be cheaper, partly because they don’t have to cover care that states require. (The federal government also imposes coverage mandates, but state laws can be more robust.)
Propublica wants you to report to them if you were denied coverage when you were supposed to receive coverage so they can keep looking into it.
Looks like you can report them to your local State Insurance Agency
Unless:
Propublica wants you to report to them if you were denied coverage when you were supposed to receive coverage so they can keep looking into it.