The toolkit is designed to be a resource in how to better communicate with plans; how to ably prepare and document information should disputes arise with a health plan over coverage or reimbursement; and how to better understand your basic appeals rights and procedures.
Note that each plan has its own appeals policies and procedures. A plan participant must become informed about his or her own plan’s appeals process and reviewing plan documents is a crucial first step.
Note as well that the information included in this toolkit is meant to be helpful, but should not substitute for legal counsel.
If you need help with the toolkit or have questions about parity send an email to firstname.lastname@example.org. We may update the toolkit as regulations are clarified and additional FAQs made available.