With the vast majority of Americans getting their health care through some form of managed care plan, understanding those plans and how to resolve disputes is critical. Today, 40 states plus the District of Columbia have legislated procedures for resolving disputes outside the health plan through “external review” systems, yet studies show these systems are not well utilized. A free online consumer guide about handling health plan disputes has been launched by the Kaiser Family Foundation and Consumers Union, the publisher of Consumer Reports magazine. A Consumer Guide to Handling Disputes With Your Private or Employer Health Plan provides practical information to plan enrollees who are seeking a way to resolve a dispute with their health plan or to better understand their coverage before a problem arises.
The guide includes sections that will help people understand their health plan’s rules and coverage, its internal review process, and the external review process in the states that have one. It was developed under a partnership between The Center for Consumer Health Choices at Consumers Union and the Kaiser Family Foundation.
To access the Consumer Guide, visit the Kaiser Family Foundation website at https://www.kff.org/health-costs/report/a-consumer-guide-to-handling-disputes-with-your-employer-or-private-health-plan/ or the health section of the Consumers Union website at http://www.consumersunion.org/. In addition, a link to the Consumer Guide is posted in the free consumer advice section of the Consumer Reports magazine website, http://www.consumerreports.org/. For further information, please contact Jennifer Webber, Kaiser Family Foundation at 650-854-9400 or Joan Tripi, Consumers Union at 914-378-2436.
The Kaiser Family Foundation is an independent, national health philanthropy dedicated to providing information and analysis on health issues to policymakers, the media, and the general public. The Foundation is not associated with Kaiser Permanente or Kaiser Industries.
Consumers Union is an independent, nonprofit testing and information-gathering organization, serving only the consumer. Diane E. Dorman Senior Director for Public Policy National Organization For Rare Disorders – Washington Office