Federal Employees Health Benefits Program–First, check your plan's brochure to be sure the service is covered—it may be limited or excluded. The next step is to review the disputed claims section of your brochure. Briefly, the disputed claims section will direct you to write to the plan to explain why (in terms of the applicable brochure coverage provisions) you feel the services should be covered, and to ask the plan to reconsider your claim.
|