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ret5hd

(22,108 posts) Tue Dec 16, 2025, 10:38 PM 2 hrs ago

Denied medical care? this info was new to me:

turns out that under the ACA, you have the right to an independent review.

1 replies

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Denied medical care? this info was new to me: (Original Post) ret5hd 2 hrs ago OP

It's good we have it (and yes, I knew about it) - Ms. Toad 1 hr ago #1

Ms. Toad

(38,069 posts)

1. It's good we have it (and yes, I knew about it) -

Reply to ret5hd (Original post)

Tue Dec 16, 2025, 11:40 PM

1 hr ago

But for life/limb-threatening conditions, by the time you get to the external review (after two internal denials), you may already be dead. I do everything in my power to get the approval from the insurance company without making a formal appeal (even an internal one). That is the fastest route. It does require doctors willing to go to bat for you. So the only times I haven't been able to win before an appeal are when I had a stinker of a soon-to-be-former doctor.

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