Virginia Insurance Appeal Laws & Rights

Virginia's Bureau of Insurance under the State Corporation Commission oversees insurance regulation and provides consumers with appeal rights and external review access.

Regulatory Agency

Virginia Bureau of Insurance (SCC)

Phone: 1-877-310-6560
Website: scc.virginia.gov/boi

Key Protections

External review for medical necessity denials
Consumer complaint process
Balance billing protections
Mental health parity enforcement
Step therapy reform

Appeal Timeline
Step Deadline
Internal appeal Per plan terms
External review Per federal/state guidelines
| BOI complaint | File at any time |

Step	Deadline
Internal appeal	Per plan terms
External review	Per federal/state guidelines

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Frequently Asked Questions

How do I appeal an insurance denial in Virginia?

File an internal appeal with your insurer first. If denied, contact the Virginia Bureau of Insurance at 1-877-310-6560 or scc.virginia.gov/boi for external review and complaint options.