The ACA guarantees coverage of certain cancer screenings at no cost to the patient. This has allowed many Americans to access care that they might not be able to afford otherwise. As some in the hereditary cancer community have learned, however, health insurers are not required to cover screenings beyond those mandated in the ACA, which are focused on the “average risk” population. Our community members often struggle to get coverage for earlier, more intensive cancer screenings and risk-reducing surgeries. This is why FORCE created sample appeal letters for a variety of services.