Louisiana Parity Resources
Depending on whether you are filing a complaint or appeal, the contact information below should be able to help you if you have any questions.
For general information about filing a parity appeal for mental health or addictions services, you cannot go wrong with contacting one of the consumer advocates below. Each has years of experience helping consumers in the state of Louisiana.
Louisiana Department of Insurance
Consumer Resources
https://www.ldi.la.gov/consumers/resources-publications/resources
Louisiana Healthcare Connections
A Bayou Health network for Louisiana’s Medicaid population
Grievance and Appeals Information
865-595-8133
Click this link for further information.
When filing an appeal for the first time, you should contact your health plan’s customer service support line or check out their information online. If you choose to appeal an adverse benefit determination concerning your mental health or substance use treatment or benefits, please keep in mind that the timeframe to do so varies by state, plan type, and other factors. Contact your state’s department of insurance for additional information. Here is some contact information for Louisiana Health Plans:
Blue Cross Blue Shield of Louisiana
Call Customer Service number found on the back of the ID card Appeal Request Form found here
Mail to:
Blue Cross and Blue Shield of Louisiana-Customer Service Unit
Appeals and Grievance Coordinator
PO Box 98045
Baton Rouge, LA 70898-9045
Coventry Healthcare of Louisiana
Contact Customer Service using the number on the back of the member ID card
Humana Contact Customer Service at number found on back of ID card The Grievance/Appeal Request Form can be found here
Mail to:
Humana Grievances and Appeals
PO Box 14165
Lexington, KY 40512-4165
Vantage
Call Customer Service: 888-823-1910 or Vantage Medicare 866-704-0109
Click here for links to find out about Grievances and Appeals procedures.
Insurance Commissioner
Louisiana State Department of Insurance
Commissioner
1702 N. Third Street, P.O. Box 94214
Baton Rouge, LA 70802
Phone: (225) 342-5900
Fax: (225) 342-1355
Utilization Management Appeals
Louisiana State Department of Insurance
Deputy Commissioner of Insurance
1702 N. Third Street, P.O. Box 94214
Baton Rouge, LA 70802
Phone: (225) 219-4770
Fax: (225) 342-1355
External Review Appeals
Louisiana State Department of Insurance
Deputy Commissioner of Insurance
1702 N. Third Street, P.O. Box 94214
Baton Rouge, LA 70802
Phone: (225) 219-4770
Fax: (225) 342-1355
Parity Appeals
Louisiana State Department of Insurance
Deputy Commissioner of Insurance
1702 N. Third Street, P.O. Box 94214
Baton Rouge, LA 70802
Phone: (225) 219-4770
Fax: (225) 342-1355
Additional Louisiana Insurance Administration Contacts, click here.
The federal government also can be a helpful resource if you are enrolled in a self-funded plan, Medicare, Medicaid or another type of insurance that is overseen at least in part by a federal agency.
For definitions and filing information refer to the Parity Resource Guide
U.S. Department of Health and Human Service’s website on the Affordable Care Act health reform law
(SAMHSA) Implementation Mental Health Parity Addiction Equity Act
U.S. Centers for Medicare and Medicaid Services (CMS)
U.S. Department of Labor, Employee Benefits, Security Administration (EBSA) or toll-free hotline: 1.866.444.EBSA (3272)
For the U.S. Department of Health and Human Services & Centers for Medicare and Medicaid Services list of exempt state and local plans, please email NonFed@cms.hhs.gov. You may ask them if any particular state and local plan has opted out of MHPAEA.
Information on requirements of employer-based insurance coverage and self-insured health plans.
EBSA has benefit advisors who are available to answer questions and provide assistance in obtaining your benefits.
Veterans and military personnel can use these resources to get help or more information with their medical or behavioral health complaints.
Health Net Federal Services
A grievance is a written complaint or concern about a medical provider.
Click here for specific information regarding who, what and how to file.
TRICARE
View the recently released Tricare Mental Health Fact Sheet.
The appeal process is different based on the benefit issue. Depending on your issue, you can file a:
- Factual appeal
- This is if you were denied payment for services or supplies you received, or if payment was stopped for services or supplies previously authorized.
- Medical necessity appeal
- This is if prior authorization for care or services was denied because it was not deemed medically necessary. Medically necessary means it must be appropriate, reasonable, and adequate for your condition.
- Pharmacy appeal
- This is if you don’t agree with a decision made about your pharmacy benefit. For example, Express Scripts denies your pharmacy claim.
- Medicare-TRICARE appeal
- This is if you’re eligible for both TRICARE and Medicare, and Medicare denies your services or supplies.
If your care is denied, you should receive a letter with details about how to file your appeal.
Veterans Health Administration
Complaints are initially handled through the Patient Advocate.
Patient Advocate can be contacted at your local VA Medical Center.
If you have any additional questions about parity compliance, please contact info@paritytrack.org
Please note: Parity Registry does not automate the appeals process. The information you provide may alert policymakers to possible health plan violations of the law, thereby helping to shape public policy and influence legislation.
You must take follow-up action with your health plan or regulatory agency.