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SECTION 1 Introduction ....................................................................................................139 SECTION 2 Where to get more information and personalized assistance .........................139 SECTION 3 To deal with your problem, which process should you use?.........................140 SECTION 4 A guide to the basics of coverage decisions and appeals ...............................141 SECTION 5 Your medical care: How to ask for a coverage decision or make an appeal of a coverage decision ........................................................................144 SECTION 6 How to ask us to cover a longer inpatient hospital stay if you think you are being discharged too soon ........................................................................151 SECTION 7 How to ask us to keep covering certain medical services if you think your coverage is ending too soon...................................................................159 SECTION 8 Taking your appeal to Level 3 and beyond ....................................................165 SECTION 9 How to make a complaint about quality of care, waiting times, customer service, or other concerns .................................................................................................................................................... 167
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