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Centers for Medicare & Medicaid Services

Consumer Support and Information

The Affordable Care Act provides consumers with significant new protections, including the ability to appeal decisions by plans to deny coverage of needed services and select an available primary care provider of their choosing.

As part of the law, CCIIO is helping consumers appeal health plan decisions and understand the Consumer Assistance Program.

Consumer Assistance Program Grants

The new Consumer Assistance Program Grants (CAP Grants) will educate consumers about their health coverage options and ensure access to accurate information.

External Appeals

The law ensures consumer’s rights to appeal health plans decisions or request a reconsideration of a decision to deny payment for a service or treatment.

Additional Resources: