Insurance grievance law helps several patients
By LAURA ERNDE / Staff Writer
ANNAPOLIS - A 77-year-old man with a chronic disease who needed a ventilator to breathe was denied insurance coverage for around-the-clock professional caretaker.
But Maryland's two-year-old Appeals and Grievance law changed that.
"This law provides an important remedy for consumers who believe their health plans have acted improperly," said Maryland Insurance Commissioner Steven B. Larsen.
Larsen released a report Thursday on the grievance process, which was the result of legislation sponsored by Del. John P. Donoghue, D-Washington.
Last year, the Maryland Insurance Commissioner investigated 511 complaints from consumers, he said.
Of those, about half were referred to the health education advocacy unit of the Maryland Attorney General's Office because the consumer did not first use the health plan's internal grievance process.