If a long COVID patient feels their health care is inadequate, they can typically file a complaint with their insurance plan, which must respond by law in places like New York and New Jersey.
Karyn Bishof, COVID-19 Longhauler Advocacy Project
“For your physician to prescribe you beta-blockers, they need that billing code for what they're diagnosing you with,” Bishof said, adding that it can also help clarify how many people are suffering from PASC overall. Kona said plans try to define medically necessary treatments by following scientific evidence or relying on guidance from physician organizations. But almost nothing is known about how to treat long COVID, meaning most therapies are considered unproven.
“[Patients] can submit any additional information from their provider and explain why they need those disputed services,” Kona said.NYC Health + Hospitals/Lincoln in the Bronx, April 8, 2020The appeals process will likely vary depending on what kind of coverage a person has. Cantor advised people working at big firms with employer-sponsored plans to check with their HR offices.
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