Referral Policy

If your health insurance plan informs you that you are not allowed to go to Roswell Park for any reason, you may want to consider taking the following steps to appeal their decision:

Step One Work with your Health Insurance Plan

  • Health insurance plans have a member handbook which explains policies and procedures, and describes formal grievance or appeal processes. If you do not have a copy of this handbook, call your insurance carrier to request one.
  • Remember to keep detailed written records of phone conversations, contacts and phone numbers, and copies of all papers and dated letters. You may be asked to provide this information during the grievance process.

Step Two Dealing with Unresolved Disputes

  • If, after exhausting all avenues with your health care plan, you are still dissatisfied with the decision made regarding your grievance, you have the right to file a complaint with the New York State Insurance Department Consumer Services Bureau (800-342-3736) or the New York State Department of Health Managed Care Hotline (800-206-8125)
  • The New York State Department of Health has regulatory oversight of the grievance and appeal processes under the New York State Managed Care Law.