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Health Insurance Appeal Letter

Last Updated On September 10, 2018 By Letter Writing Leave a Comment

Health insurance appeal letters aim to bring to justice to the undue delay that the health insurance claims. Sometimes the letter is also written when they are found hiding facts or figures at the time of enrolling, to get more clients.

The health insurance appeal letter is usually written to the health insurance company when they do not approve the claim. This is the typical situation why the appeal letter is written to the companies. This is a formal letter and thus should follow the right format. You may be upset with the service of the company, but while writing the letter, ensure that you do not use harsh words. Using kind words will help you make the letter effective, and the action will be taken at the earliest. Make certain that all the required documents are already sent to the company for the claim. In case you have not written the appeal letter in the past, the sample mentioned below will help you write.

Health Insurance Appeal Letter Writing Tips

  • First and foremost state the case directly
  • Make your righteous claims supported by all the facts and figures
  • Making a direct presentation of your case will make it all the more strong
  • The language should be simple
  • You should write in such a manner that there should not be any space for doubts

Health Insurance Appeal Letter Template

Use our free Health Insurance Appeal Letter to help you get started.

From,

__________

__________

__________

__________

Date: _____ (Date on Which Letter is Written)

To,

__________

__________

__________

__________

Subject – _______________________(Mention the purpose)

Respected _______(Name)

I _____ (Your Name) is writing this letter to appeal to bring me justice in the form of approving the claim for the necessary amount for my wife’s hospital expenses and address my case and dispose it at the earliest so that I may get my deserved due. It is pathetic that a client like me who never defaulted in my payment modules is being made to suffer like this. I hope the higher appellate body like you will put forward a positive help you get me my due amount to bear the hospital expenses. Hope you will expedite the process of delivering justice to me at the earliest.

Thanking you,

Sincerely,

Name and signature

Sample Letter

Here is a sample of a Health Insurance Appeal Letter.

From,

Mina Vani

Sai Towers

Saroj Marg

Pune

Date- DD/MM/YYYY

To,

Apollo Heath Insurance Company

Cama Lane

Pune

Subject: Health insurance appeal letter

Respected Sir/Madam,

This is to inform you that I enrolled in the health insurance program last year and what they had promised is entirely different from reality. I have not defaulted payment even once; still, they are trying to bring me down by not making my payment on time. My wife has undergone surgery, and I need to clear the bills for medicine, hospital expenses, etc. In the letter enclosed herewith, the insurance agency has promised to pay for all such types of expenses. But, the company is making lame excuses rather than clearing my claim.

If this is the ethics that the health insurance companies are keeping towards their clients, what I can say in this regard is that the services have been very pathetic. I have approached them several times but what they say is that my case is pending before higher officials in the agency, and it has to pass through many stages to sanction the claim.

I humbly request you to take the necessary action to approve my claim at the earliest so that the expenses are covered.

Thanking you,

Yours sincerely,

Mina Vani

Email Format

Below mentioned is the email format of the health insurance appeal letter.

To: name@email.com
From: name@email.com
Subject: Health Insurance Appeal letter
Dear Mr. Patty,

This is to inform you that I enrolled in the health insurance program last year and what they had promised is entirely different from what they preach. I have not defaulted payment even once; still, they are trying to bring me down by not making my payment on time. My wife is undergoing surgery, and I am in need of liquid cash for medicine, hospital expenses, etc. In the letter enclosed herewith, the insurance agency has promised to pay for all such types of expenses. But, when we demand at the time of emergency what they offer is nothing but sort of lame excuses.

If this is the ethics that the health insurance companies are keeping towards their clients, what I can say in this regard is that the services have been very pathetic. I have approached and telephoned them several times but what they say is that my case is pending before higher officials in the agency, and it will have to pass through many stages to sanction the amount of repayment.

I humbly request you to take the necessary action to approve my claim at the earliest so that the expenses are covered.

Yours Sincerely,

Mrs. Amy C. Hinton

1224 Lynn Street

Cambridge, MA 02141

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