Share Your Experience With Health Insurance Denials & Appeals

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Thank you for your interest in sharing your experience with your health insurance company.

We are conducting this survey to better understand the challenges that cancer patients are experiencing with their insurance company denying coverage for their medical care. Your responses will also help us identify ways that we can better educate and support patients through the appeals process.

Your personal information will not be shared with anyone. However, if you are interested in sharing your experience with elected officials or media outlets, or are willing to share additional information with Triage Cancer, you can let us know at the end of the survey.

If you have any questions, please email info@triagecancer.org.

First Name *

Last Name *

Email address *

Phone Number *

City *

State *

Zip Code *

Type of Cancer *

Type of Health Insurance (check all that apply) *

Medicare

Medicaid

Employer-sponsored health insurance plan

Marketplace health insurance plan

Other individual health insurance plan

TRICARE

VA Health Care

Other:

Required

Have you ever had your health insurance company deny coverage for a particular treatment, procedure, prescription drug, etc.? *

Yes

No (If you click "No," please answer N/A to the rest of the questions)

Required

Did you file an internal appeal of the insurance company's denial of coverage? *

Yes

Not sure

N/A (not applicable)

If you did not file an internal appeal, why? *

I did not know that I could appeal

I did not have the energy to file an appeal

Not sure

N/A (not applicable)

Other:

If you did file an internal appeal, what happened? *

My care was approved by the insurance company

My care was still denied by the insurance company

Not sure

N/A (not applicable)

If you filed an internal appeal, but the care was still denied, what happened? *

I did not get the medical care

I got the medical care and paid out-of-pocket

I got the medical care and got other financial help

N/A (not applicable)

If your internal appeal was denied, did you file an external appeal? *

Yes

Unsure

N/A (not applicable)

If you did file an external appeal, what happened? *

My care was approved

My care was still denied

Not sure

N/A (not applicable)

Is there anything else you would like us to know about your experience with the appeals process?

Are you are wiling to share details about your experience with Triage Cancer, so that we can better help other patients? We will contact you if you are interested. *

Yes

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