Can Senator Lieberman assist me in resolving a problem with my health insurance provider?
Most insurance plans have a two step appeals process. If you are dissatisfied with a decision made by your health insurance provider, you must review your health insurance plan manual and determine the appropriate course of action to file an internal appeal. If you have exhausted your internal appeals and are a Connecticut resident, you may file an appeal with an independent organization provided for under a Connecticut Insurance Department program. Effective January 1, 1998, consumers may appeal denials of coverage for such care as hospitalization, surgery, mental health and substance abuse, specialists, and outpatient services, including physical therapy. The independent appeals system is not available to people who work for companies that are self-insured, or who are in a Medicare or Medicaid program. Individuals who are covered by self-insured health plans should call the U.S. Department of Labor at (866) 444-3272. Individuals who work for municipalities or government agencies that
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