Blog Posts in 2014

  • The Court of Appeals for the Ninth Circuit has issued a published decision in Pacific Shores Hospital v. United Behavioral Health, et al. , an ERISA case in which a severely anorexic 43-year old woman sought benefits under her Wells Fargo employee health benefit plan for inpatient psychiatric treatment. At her admission to Pacific Shores Hospital, the patient (called "Jane Jones" by the ...
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  • Treating an eating disorder can be a delicate and multifaceted journey – for everyone involved. Treatment plans often require dedicated “teams” of professionals and experts who are well versed in crafting individualized strategies for recovery. In addition to working closely with providers, the support and encouragement from family and friends can be extremely ...
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  • What Kind of Healthcare Policy or Plan Do I Have?

    || 7-May-2014

    Healthcare coverage is not created equal. Depending on your type of healthcare coverage, you are entitled to certain protections under the law. Here is a primer to help you understand your type of healthcare policy or plan: Individual policies – These are insurance policies which you buy as an individual or family. These policies are not provided through employment. In many states (including ...
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  • Today, The Eating Disorders Coalition for Research, Policy & Action (EDC) announced that eating disorders and insurance advocate, Kathleen MacDonald, will be joining the EDC as Policy Director. Although the health team at Kantor & Kantor, LLP will greatly miss her contribution, passion, and dedication we are so pleased to see MacDonald continue in her efforts to advocate for those with eating ...
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  • It's no surprise that as a society, we overlook males with eating disorders. This deadly disease has been extensively labeled and cast as a "female" disease, (and even still females are being overlooked and misdiagnosed) leaving the other half to suffer in even more shame and silence. Misinformation, and a lack of understanding within the medical community, perpetuates these myths ...
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  • Insurance benefits provided by your employer benefit plan are usually governed by the federal laws of ERISA (Employee Retirement Income Security Act). Not all plans are insured, and instead may be self-funded. But, when they are insured, your dealings will almost always be exclusively with an insurance company. Under ERISA, you are entitled to receive, upon request and free of charge, ...
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  • Shelby Oppel and Bryndis Klein, for themselves and for all other similarly situated California residents vs. Anthem Blue Cross Life & Health Insurance Company This lawsuit, recently filed by Kantor & Kantor, LLP, alleges that Anthem Blue Cross Life & Health Insurance Company and Blue Cross of California have persistently refused to authorize treatment for thousands of suffering eating ...
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  • Readers, please be advised that this blog contains content that reflects the reality of Brian's struggles with various addiction and suicidal intent. As we approach Eating Disorder Awareness week, I think back to 2005. Deep in the throes of a twenty seven-year struggle with bulimia and untreated alcoholism and drug addiction, I stuck a.45 automatic pistol in mouth and pulled the trigger. At 44 ...
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  • Unfortunately, we have come to learn that there is no shortage of tactics that insurers will use to deny claims. Insurers are notorious for denying claims…while boosting their bottom line. They use confusing terms, rules, and exclusions that make up a policy. They take advantage of the vulnerability of those who are sick, those who are elderly, and those are simply unable to fight back. ...
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  • Kantor & Kantor, LLP celebrates a fantastic victory announced today by New York Attorney General Eric T. Schneiderman. After exposing Cigna Corporation for numerous wrongful mental health insurance denials, Attorney General Schneiderman's office reached a settlement agreement. The settlement requires Cigna to reprocess and pay hundreds of claims for nutritional counseling for mental health ...
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  • By Shannon Cutts (as published in Gurze Books' "Eating Disorders Recovery Today", Winter 2009 ) I can sum up my own recovery from anorexia and bulimia with four words— relationships replace eating disorders. When I became ill with anorexia at the age of eleven, I didn't know how to tell my parents what felt so wrong inside of me, and they didn't know what to say to help ...
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  • For claimants whose claims have been denied due to Plans providing inequitable benefits for mental health treatment, the new rules issued by the Departments of the Treasury, Labor and Health and Human Services will change their coverage. Here are facts that you can use to advocate for your mental health benefits under the federal mental health parity law: Full text of the final rules may be found ...
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