Insurance companies cannot deny a claim without providing a valid reason. If you think their reasoning was not valid or they are missing critical information, read on for how to appeal a denied insurance claim.
How Often Do Insurance Appeals Work?
Insurance appeals have a higher success rate than you might australia whatsapp number data think. Surprisingly, many policyholders simply accept the denial without contesting it, leading to an appeal rate of less than two-tenths of one percent, according to the Kaiser Family Foundation. However, if you do appeal, your chances of success are quite promising.
The denial rates for insurance claims vary depending on the provider. Estimates suggest that insurance companies deny up to 49% of claims, with an average denial rate of 17 to 18% for HealthCare.gov providers. While these statistics may seem daunting, appeals can work. In fact, 41% of appeals on HealthCare.gov were successful.
If you’re facing a denied long-term care insurance claim, don’t give up hope. By appealing a denied claim, you can challenge the decision and advocate for the coverage you rightfully deserve.