We are providing remote conferencing during the Covid-19 crisis
We are providing remote conferencing during the Covid-19 crisis
We are providing remote conferencing during the Covid-19 crisis
There is no doubt that health insurance is the most important benefit people get through their employers. We all know that it is critical to have coverage when a major health problem comes up. Nevertheless, too often, insurers deny health coverage just when it is needed most.
The Employee Retirement Income Security Act (ERISA) governs most of the benefits that people receive through their employer. This law allows insurers to take advantage of obscure rules that even most lawyers do not understand. If your benefit plan is governed by ERISA, you need to consult with a lawyer who is experienced in handling complex ERISA claims.
The insurance company may say that a particular treatment, surgery, or medical device is not medically necessary. Or they may say there is some exclusion in the policy that prevents you from getting the care you need. The person trying to heal is suddenly caught up in the red tape of preauthorization, out-of-network coverage, non-participating providers, discontinuation of coverage, and a host of other reasons for denying benefits. The "explanation" forms that fill your mailbox don't explain much, but they do cause a great deal of worry.
We have helped people get their benefits many times. Whether the issue is covering a needed surgery, a medical device, or residential treatment for addiction or mental health problems, we can help you navigate the procedural gauntlet.
There is no doubt that health insurance is the most important benefit people get through their employers. We all know that it is critical to have coverage when a major health problem comes up. Nevertheless, too often, insurers deny health coverage just when it is needed most.
The Employee Retirement Income Security Act (ERISA) governs most of the benefits that people receive through their employer. This law allows insurers to take advantage of obscure rules that even most lawyers do not understand. If your benefit plan is governed by ERISA, you need to consult with a lawyer who is experienced in handling complex ERISA claims.
The insurance company may say that a particular treatment, surgery, or medical device is not medically necessary. Or they may say there is some exclusion in the policy that prevents you from getting the care you need. The person trying to heal is suddenly caught up in the red tape of preauthorization, out-of-network coverage, non-participating providers, discontinuation of coverage, and a host of other reasons for denying benefits. The "explanation" forms that fill your mailbox don't explain much, but they do cause a great deal of worry.
We have helped people get their benefits many times. Whether the issue is covering a needed surgery, a medical device, or residential treatment for addiction or mental health problems, we can help you navigate the procedural gauntlet.
