Check the benefits handbook or contact a Member Services Representative at the plan for more information about how to appeal a decision. Ask for a copy of your plan’s policy on prior approval and appeals. The Member Services Representative will work with you to help you find the best way to address the problem. If your appeal is denied by your health plan, you may have additional rights through the Office of Patient Protection (OPP) at the Massachusetts Department of Public Health. Information about additional rights should be provided in the final denial letter you receive from your health plan. Please note that in some plans, decisions are not eligible for outside review.
