|
|
|
||
|
||||
|
||||
ServicesSenator Lieberman's Constituent Service Center offers help in the following areas:
|
Insurance
Senator Lieberman's Constituent Service Center regularly receives the following questions regarding insurance. If your question is not answered here, please send an email so that his staff may address your concern.
Q: Can Senator Lieberman assist me in resolving a problem with my health insurance provider? Most insurance plans have a two step appeals process. If you are dissatisfied with a decision made by your health insurance provider, you must review your health insurance plan manual and determine the appropriate course of action to file an internal appeal. If you have exhausted your internal appeals and are a Connecticut resident, you may file an appeal with an independent organization provided for under a Connecticut Insurance Department program. Effective January 1, 1998, consumers may appeal denials of coverage for such care as hospitalization, surgery, mental health and substance abuse, specialists, and outpatient services, including physical therapy. The independent appeals system is not available to people who work for companies that are self-insured, or who are in a Medicare or Medicaid program. Individuals who are covered by self-insured health plans should call the U.S. Department of Labor at (866) 444-3272. Individuals who work for municipalities or government agencies that are self-insured and have a health care dispute may call the Connecticut Insurance Department's Consumer Affairs Division at (860) 297-3900 for a referral on where to obtain assistance. The Connecticut Insurance Department will refer qualified appeals to one of several organizations for dispute resolution. Consumers must file an appeal within 30 days of receiving written notice from their health insurance plans that the internal appeals process has been exhausted. Q: Whom can I contact for more information about my insurance complaint? Please contact the Connecticut Insurance Department to request an external appeals application and to determine the filing fee by calling 800-203-3447. You may also wish to contact the State of Connecticut Office of Managed Care Ombudsman. The Office of Managed Care Ombudsman can assist Connecticut residents who belong to managed care/HMO health plans. If you have questions about managed care, the referral or pre-authorization process, or the appeals/grievance procedures, the Office of Managed Care Ombudsman can provide help. You can contact the Office of Managed Care Ombudsman at 866-HMO-4446. If you would like more information, please visit the Office of Managed Care Ombudsman. |
Flags
Internships
Nominations
Learning
Visiting
|
