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Category Archives: Health Insurance Disputes

Is My Covid-19 Test Covered by Health Insurance?

On March 18, 2020, the Families First Coronavirus Response Act was signed into law. The law contains a provision (Division F Section 6001) for insurance coverage for the testing of Covid-19. It states that, both group and individual health insurance plans shall (aka must in legalese) provide coverage and must not “impose any cost sharing, […]

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Coronavirus Insurance Issues

My apologies for my less than frequent blog post. One of the things I intend to do during this very uncertain and unsteady time is to blog about some of the issues we’ve been dealing with recently.. I hesitate to send this first post on one level, because I’ve never posted (as infrequently as I […]

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Health Insurers Requiring “Step Therapy” May Be in Breach of Fiduciary Duties

Health insurance companies, in an effort to protect profits, are using step therapy with more frequency.  Step therapy is the insurance practice of requiring policyholders to try cheaper treatments before they can use more expensive ones.  Insurers can require step therapy even when the policyholder’s doctor concludes that the less expensive treatments will not work […]

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Has Your Insurer Wrongfully Denied Proton Therapy?

Proton therapy is one of the most advanced methods for delivering radiation to cancerous tumors.  In the most basic terms, radiation damages the DNA of the cancerous cells, which often impedes the cell’s ability to divide and grow.  The advantage of proton therapy over traditional radiation treatment is that proton therapy is designed to deliver […]

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Can Your Health Insurer Deny a Claim Due to Intoxication?

  Health insurance policies are contracts which spell out the rights and obligations of the parties.  These policies are designed to pay for medical expenses as provided for under the policy, however, policies also contain exclusions which can limit the scope of coverage.  Sometimes health insurers improperly deny coverage for an otherwise covered medical claim, […]

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Grammar! How verb tense won a health insurance lawsuit!

Many “trial lawyers”  crow about how much money they make for themselves and their clients.  We’re not of that ilk. Every case is important to the client, and for us. Let me tell you about a recent case of ours that I’m just tickled about. We represent a wonderful woman who has been a public […]

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