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Dealing with Managed Health Insurance Plan Supervisors

Part 2, Chapter 7: Managed-Care Plans Page 9

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Supervisors and executives are generally quite knowledgeable about program rules. My experience is that they are often very responsive to consumer problems, as well. In several cases where I've tried to help readers of my newspaper column deal with problems involving managed care plans, I've found that even complex problems were often easily solved once a supervisor or an executive became involved.

If you write to a supervisor or an executive at a managed care plan, make certain that you include all of the relevant in formation and documentation. Make certain, as well, that your letter stays focused on the issue at hand. A letter that attempts to review all the difficulties you have ever experienced with the managed care plan or with health insurance in general is unlikely to lead to a quick solution of the immediate problem.

Your letter to a supervisor or executive might begin by listing your name, address, phone number, and identification number, and then noting the date of service, the type of treatment or test involved, and a brief description of the problem.

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