At some point during cancer treatment, you may experience a denial of coverage from an insurance company, whether for an imaging scan, prescription drug, treatment, procedure, or biomarker test. Denials can come before care, like when an insurance company denies a prior authorization, but denials can also come after you have already received care. Most people take “no” for an answer. But those who don’t accept the denial, and file an appeal, may actually win and get coverage for the care prescribed by their health care team more than 50% of the time! These free materials and resources demystify an important process that actually help you get the care you need and lower your out-of-pocket costs!
Quick Guides, Checklists, & Other Materials
Our Quick Guides and Checklists walk you through the appeals process step by step. They cover key deadlines, common reasons for denials, and practical tips for preparing and submitting an appeal. Each resource is brief, printable, and designed to help you take action with clarity and confidence.
- Quick Guide to Appeals for Employer-Sponsored & Individual Health Insurance
- Quick Guide to Pre-Authorizations for Individual & Employer-Sponsored Health Insurance
- Health Insurance Appeals Tracking Form
- Quick Guide to Accessing to Medical Records
Charts of State Laws
Understanding state laws related to health insurance appeals is important because sometimes state laws provide more protection than federal laws. To learn more about laws that protect you as a health care consumer, explore our Chart of State Laws Related to Health Insurance.
Triage Health Appeals Navigator: Powered by Counterforce Health
Navigating a health insurance claim denial can be confusing and overwhelming, but you don’t have to do it alone. For many patients and providers, drafting an appeal letter is a marjor hurdle to filing the appeal. Using AI technology, the Triage Health Appeals Navigator, powered by Counterforce Health, will generate the appeal letter for you, for free.
Animated Videos and Webinars
For a quick introduction to how to respond to a health insurance denial, watch our animated video. If you want more details, watch our webinar on health insurance appeals.
Cancer Finances
CancerFinances.org is an interactive toolkit for navigating finances after cancer. Learn how to effectively navigate your health insurance coverage to get the care you need and appeal denials of coverage.
One-on-one Help
Triage Cancer has a free Legal & Financial Navigation Program that provides one-on-one assistance on a variety of topics, including health insurance appeals, to empower you to confidently take next steps.
