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States eligible for funds to help consumers handle health insurance disputes

Posted On Fri, July 23, 2010

Consumers who have ever felt helpless after their health insurance company denied a claim will now be able to file an appeal.

New government regulations will permit all patients to appeal a decision made by their health insurer. Additionally, states will be eligible to receive a portion of the $30 million in grant money to go towards consumer assistance offices to help those who need to file a dispute.

Labor Secretary Hilda Solis says that the regulations will make the appeals process less complicated and help protect consumers.

"They will ensure that consumers in new health plans have access to internal and external appeals processes that are clearly defined, impartial, and designed to ensure that, when health care is needed and covered, consumers get it," says Solis.

It's best for people to understand their health insurance plan from the start. The Kaiser Family Foundation says that many people do not understand the amount of coverage their plan offers in the first place. Without knowing what is covered, they say, it's hard to know what kinds of rights a patient has.ADNFCR-2297-ID-19905743-ADNFCR

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