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Kiplinger
Kiplinger
Business
Kimberly Lankford

How to Appeal a Health Insurance Denial

A man appears to be worried as he looks at his laptop at his dining room table.

Depending on your health insurance policy, you may have noticed that you need to get permission from your insurer before it will pay for a medication, treatment or procedure your doctor prescribes — even if it’s covered by your plan.

This extra step, called prior authorization, is becoming more common with most types of health insurance, including Medicare Advantage, employer coverage and individual plans sold through HealthCare.gov or your state health insurance marketplace.

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