Health Benefits Plan Appeal The links below take you to pages that explain your rights and what actions you must take for appealing a Health Benefits Plan's decision about your coverage. Appealing a Health Benefits Plan's Decision The Independent Review Organization Appeal Process External Appeal Form* (Health Benefits Plan Members Bill of Rights Law) andAuthorization for the Release of Medical Information Form (Both Forms Required!) DOH Annual Health Benefits Plan Members' Bill of Rights Report <<Return to main page>> * This document is presented in Portable Document Format (PDF). A PDF reader is required for viewing.Download a PDF Reader or Learn More About PDFs.
The links below take you to pages that explain your rights and what actions you must take for appealing a Health Benefits Plan's decision about your coverage.
* This document is presented in Portable Document Format (PDF). A PDF reader is required for viewing.Download a PDF Reader or Learn More About PDFs.