Appeal Process Resources
These tools, resources and contact information will help you understand how a health plan works, manage the appeal process and get assistance with your appeals or health care expenses. You’ll also learn about the Arthritis Foundation’s advocacy efforts for insurance and medication coverage reform.
Use these templates to develop your own communication or as examples for your healthcare providers to use.
Use this example as a guide to understand the benefits, coverage and out-of-pocket expenses for a health plan.
Use this example as a guide to understand your explanation of benefits.
Use this resource to help keep track of your communication as you manage your appeals.
A resource for understanding different types of Medicare programs and the related appeal process and where to get help if you have questions.
A resource for understanding the medical claim appeal process if you are active or retired military as well as contact information for various TRICARE offices.
This document provides sample step-by-step instructions for navigating a Medicaid appeal process.
This document provides examples of specific medical items, services, treatment procedures, or technologies that Medicare covers.
Get contact information for your state department of insurance.
The Arthritis Foundation has gathered important information on patient assistance programs provided by the government, non-profit and corporate sources.
Many states offer help to consumers with health insurance problems.
People with arthritis face unique barriers to care: high costs of treatment, difficulty accessing medications, scarcity of specialists and coinsurance that limits access to treatment. Join the Arthritis Foundation’s advocacy efforts.