Patient Advocacy Resources
Tools, organizations, and guides to help you fight back.
A curated collection of resources for patients navigating insurance denials, prior authorization battles, and coverage disputes.
Appeals & Dispute Resolution
- CMS External Appeals
The federal external review process for health insurance denials under the ACA. Free to use and available to most insured Americans.
Government - Patient Advocate Foundation
Free case management services to help patients resolve insurance denials, access treatment, and navigate the appeals process.
Nonprofit - NAIC Consumer Insurance Search
Find your state insurance commissioner and file a complaint against your insurer. Complaints often trigger faster resolutions.
Government
Prior Authorization Reform
- AMA Prior Authorization Resources
The American Medical Association's hub for prior authorization reform, including tools for physicians and patients.
Medical - Fix Prior Auth — AMA Coalition
A coalition of patient and provider groups advocating for prior authorization reform at the federal and state level.
Advocacy
Legal & Financial Help
- Health Law Advocates
Free legal assistance for Massachusetts residents facing insurance denials. A model for similar organizations nationwide.
Legal - NeedyMeds
Find patient assistance programs, drug discount cards, and financial aid for patients who cannot afford their medications.
Financial - RxAssist
Directory of pharmaceutical company patient assistance programs for free or reduced-cost medications.
Financial
Patient Rights & Education
- Healthcare.gov Know Your Rights
Official summary of ACA patient protections including appeals rights, coverage requirements, and the No Surprises Act.
Government - PCORI — Patient-Centered Research
The Patient-Centered Outcomes Research Institute funds research that helps patients and caregivers make informed healthcare decisions.
Research - National Patient Advocate Foundation
Advocates for systemic policy changes to improve access to care and protect patients from insurance barriers.
Advocacy
Links to Products & Websites
Products, tools, and websites recommended for patients navigating the healthcare system. Links will be added here as they are curated.
Affiliate disclosure: Some links in this section are affiliate links. Patients Over Policies may receive a small commission at no additional cost to you. Commissions do not influence which products are listed or how they are described.
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