Project HEAL’s Self-Advocacy Toolkit is designed to help our community navigate their healthcare on their own. This toolkit offers self-care considerations, levels of care descriptions, and information on your insurance rights.

DOWNLOAD THE TOOLKIT HERE

Project HEAL has four (4) templates for helping you to appeal your insurance. 

Single Case Agreement Request:

When your insurance does not cover care with an eating disorder provider, you can submit a request for a Single Case Agreement. When approved, this offers an exception to cover your requested care. Fill this template out to get a request started.

DOWNLOAD SCA REQUEST TEMPLATE

Letters of Appeal:

If your insurance says "no" to paying for something you need, like a doctor visit or medicine, you can write a letter of appeal. In the letter, you tell them why you think they should say "yes" instead. If your request for care is denied, use the templates below to submit an appeal.

DOWNLOAD THE RESIDENTIAL APPEAL

DOWNLOAD THE APPEAL TO SCA REQUEST

DOWNLOAD THE NUTRITION THERAPY APPEAL

You can personalize these letters with your own info and share them with your insurance provider to request reconsideration of their denial and advocate for the care you need and deserve.

Looking for more information on Single Case Agreements and appeals? Visit our webpage to walk through all the necessary steps.

Looking for more assistance in your insurance claims, appeals, or benefits? Project HEAL offers Insurance Navigation to support recipients in understanding their insurance benefits. If you are seeking additional legal support, check out some of our trusted groups and firms below:

Berger & Green (PA)

Social Security Disability Claims

If you are unable to work due to the complications of an eating disorder, you may be eligible for Social Security Disability (SSD) or Supplemental Security Income (SSI) benefits. Berger & Green has over 35 years of experience helping individuals secure the benefits they deserve.

📞 Call for a free consultation: 412-385-4215

Disability Insurance Law Group (FL)

Fighting for Denied Health Insurance Claims

This firm specializes in holding insurance companies accountable for promised health care benefits. If you or a loved one has been denied coverage for eating disorder treatment, they can help. 

📞 Call for a free consultation: 855-496-5356

Kantor & Kantor, LLP (CA, OR, WA)

Litigating Insurance Claims & Eating Disorder Coverage Denials

With extensive experience in handling unfair insurance denials for eating disorder treatment, Kantor & Kantor aggressively fights insurers who wrongfully deny benefits.

📞 Schedule a free consultation: 877-220-0556

Law Offices of Scott Glovsky (CA)

Nationally Recognized Eating Disorder Lawyer

Scott Glovsky has significant experience with challenging insurance companies that deny treatment for eating disorders.

📞 Call for a free case evaluation: 626-602-7333

Legal Practices Handling Health Insurance & Mental Health Parity Violations

If you need legal support regarding insurance parity violations or broader health insurance disputes, the following law firms and advocacy groups may be able to assist:

• The Kennedy Forum (Mental Health Parity Advocacy)

• Crowell & Moring LLP – Kathy Hirata Chin (NY)

• DeBofsky Sherman Casciari Reynolds P.C. (IL)

• Epstein Becker & Green (CA, CT, FL, IL, MD, MI, NJ, NY, TN, TX, DC)

• Hall Render Killian Heath & Lyman (AK, CO, IN, MD, MI, NC, TX, WA, WI, DC)

• Napoli Shkolnik PLLC – Matthew Lavin (DC)

• Psych Appeal (CA)

• Zuckerman Spaeder (FL, MD, NY, DC)

Residential Eating Disorders Consortium (REDC)

The Residential Eating Disorders Consortium (REDC) was founded in 2011 to advance standards of care, advocate for policy changes, and improve access to quality treatment for individuals with eating disorders.

Originally focused on residential treatment programs, REDC expanded in 2020 to represent all higher levels of care, including partial hospitalization and intensive outpatient programs.

Eating Disorders Coalition (EDC)

The Eating Disorders Coalition (EDC) is a U.S.-based advocacy organization focused on legislation, funding, and policy improvements to enhance access to eating disorder treatment, prevention, and research.

EDC engages in legislative advocacy by lobbying for laws that expand insurance coverage and support mental health parity. Through awareness campaigns, it educates both policymakers and the public about the seriousness of eating disorders, while its research and policy efforts involve partnering with experts to promote evidence-based treatment. Notably, the organization helped pass the Anna Westin Legacy Act in 2016, expanding insurance coverage for eating disorder treatment, and continues to advocate for the inclusion of eating disorders in federal mental health policies.

The Kennedy Forum

Founded in 2013 by Patrick J. Kennedy, the Kennedy Forum is a leading mental health advocacy organization dedicated to policy reform, parity enforcement, and stigma reduction.

The organization works to make sure mental health and substance use treatment is covered just like physical health care, as required by the Mental Health Parity and Addiction Equity Act (MHPAEA). It pushes for stronger mental health laws at both the state and national level. The group also helps teach the public about mental health and works to reduce the stigma, encouraging open and honest conversations. It supports mental health-friendly rules in schools and workplaces. Some of its main programs include the Parity Registry, which helps people report unfair insurance denials; Parity Track, which checks if states are following mental health laws; and efforts to improve access to telehealth and the 988 mental health crisis hotline.