• Make sure the service is not excluded in your health plan contract
   
• Appeal "internally" to your insurer first; Connecticut State law requires your that your appeal is to be reviewed and resolved within 15 days from the date you submit the request for appeal, unless an extension is granted for an additional 15 days
   
• Obtain a written denial from your plan’s internal appeals process
   
• File for an external appeal with the State of Connecticut within 120 days (or through your carrier if you have the right to an external review through a self-funded plan)

For more detailed explanations, click on...

Step One                         Step Two                         Step Three

Other Related Links:

Determine the Problem

How to Write an Appeal Letter

Internal Appeals Process

External Appeals Process

Download Consent Statement