Part of: Appeal

Decision clock

Check whether your plan has taken longer than the law allows to decide, and what you can do if it has.

  • Private: nothing leaves this tab
  • General information, not legal advice
What it asks, and what it is not

What it asks. Your coverage type, the kind of request, and the date you made it.

Everything you type stays in this browser tab. Nothing is sent anywhere, and no account is needed.

What it is not. It applies the general federal time limits. State rules and your plan document may set shorter ones.

  • Private: nothing leaves this tab
  • General information, not legal advice
What it asks, and what it is not

What it asks. Your coverage type, the kind of request, and the date you made it.

Everything you type stays in this browser tab. Nothing is sent anywhere, and no account is needed.

What it is not. It applies the general federal time limits. State rules and your plan document may set shorter ones.

Related guides and checklists

  • Guide

    How to file an internal appeal

    Ask your plan to reconsider a denial, in writing and inside your deadline, and know how long the plan has to answer. Covers job-based plans and individual or marketplace plans.

  • Guide

    Patient appeal and provider appeal: run both

    Your doctor's office may appeal on its own, and you can appeal too. Here is how to run both without crossed wires, and how to let the office act for you in writing.

  • Guide

    Second-level internal appeals

    Some job-based plans have two internal appeal levels, and some offer an optional extra one. Learn how the time limits split, what a voluntary level does to your other deadlines, and when to skip it.

  • Guide

    When the insurer misses its deadline or goes silent

    If your plan does not decide your claim or appeal on time, you may be able to skip ahead to external review or court. Here is what the rule says, its small-mistake exception, and what to do in practice.

  • Checklist

    Internal appeal packet

    What to gather, include and send when you ask your plan to reconsider a denial, and what to track after you send it.

Part of Appeal · File an internal appeal · My Plan