Baltimore Sun
Dec 10, 2024
Lorainne Mirabella
Excerpt:
“What to do if you are denied insurance coverage
But Maryland residents should not feel that they’ve hit a dead end when struggling with insurance and claim problems, said Vincent DeMarco, president of Maryland Health Care For All. Under state law, a claim can not be denied because of cost but can be denied if found not medically necessary. Under a change passed during the last legislative session, carriers must justify denials and provide doctors’ justification.
And two state agencies will go to bat for health insurance consumers, including the Insurance Division, led by the acting insurance commissioner, and the Health Education Advocacy Unit in the Maryland Attorney General’s office.
“Certainly there’s always been frustration when health claims are denied,” DeMarco said. “And we hear that loud and clear. But a lot of Marylanders don’t know that these resources are there.”
Efforts are being made to reduce the price of high-cost prescription drugs as well, he said.
“The fact is that health care costs are high, and one reason is because of exorbitantly high prescription drug costs,” he said.
A 2019 law sought to make high-cost drugs more affordable in state and local government plans. DeMarco said Health Care for All is pushing to expand that affordability to the larger market in the upcoming session.”
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Last modified: December 16, 2024
