• Care is being delayed and waiting could seriously harm you

    Ask for a fast (expedited) decision today

    If your doctor says waiting could seriously harm your health, your plan has to decide much faster. For most private plans that is no later than 72 hours, and you can ask for an independent review at the same time. Ask your doctor to say so in writing.

    How to ask for a fast appeal

    Urgent appeal triage tool

  • You are about to run out of a medicine

    Call your prescriber and the pharmacy today

    Ask the pharmacy what it can do right now, and ask your prescriber to request an exception or a fast decision. Talk to your prescriber before changing how you take any medicine.

    Drug exception requests

    Phone script: pharmacy rejection

  • A hospital, rehab, nursing home or home health stay is ending (Medicare) Deadline: hours or days

    With Medicare, you can ask for a fast appeal

    If you have Medicare and a hospital says you are being sent home, or a skilled nursing, rehab, home health or hospice service is ending, you can ask a Medicare review organization (the Quality Improvement Organization named on your notice) to look at it. The time is very short: no later than the day you leave the hospital, or by noon of the day after you get a notice that other care is ending. Call the number on the notice, or 1-800-MEDICARE (1-800-633-4227).

    Medicare fast appeals

    Call 1-800-MEDICARE

  • Medicaid services being cut or stopped Deadline: hours or days

    Ask to appeal and keep the services going, within days

    If your Medicaid health plan is cutting or ending services you already get, you can ask to keep them going while you appeal. That request is due within 10 days of the date on the plan's notice, or before the change starts if that is later. Call the plan today, then confirm in writing.

    Medicaid plan appeals

    Work out my dates

  • A deadline is today or tomorrow Deadline: hours or days

    Send something now, by a way you can prove

    A short letter that says you appeal, sent today with proof of the date, is better than a perfect letter sent late. Then ask in writing whether anything else is needed. If it may already have passed, ask the plan for more time and say why.

    How deadlines are counted

    Request an expedited appeal letter

  • You do not know who to call

    Start with your state regulator

    Every state has an insurance regulator, and many have free consumer help. If you have a job-based plan your employer funds itself, the U.S. Department of Labor's Employee Benefits Security Administration helps: 1-866-444-3272.

    Find your state

    Find free help

This site is not an emergency service, not a law firm and not a medical provider. These numbers are nationwide and their sources were last checked . Sources: 988 Lifeline, Medicare.gov, Department of Labor.

Sources last checked . Found a mistake? Report it.