California Health Insurance Laws
Recent changes in the California health insurance laws have made it much easier for claimants to get approval for the medical treatments they require. For example, California residents can now legally sue HMOs and other health insurance providers after being denied coverage for vital treatments. According to state laws, these companies have to be accountable for denials, and the legal system now provides an outlet for regular folks to take on huge insurers--and win.
Basically, the law requires HMOs and other health insurance providers in California to give you the right to a second opinion. Oftentimes, this may require that you go outside of your HMO network for proper treatment. Under old laws, you would be responsible for all or most of your treatment costs outside of your network provider. However, new laws allow you to sue your HMO to cover these costs when medically necessary. Even if you've been denied, you can legally obtain reimbursement in many cases.
California Health Insurance Laws Can Work for You
At Kantor & Kantor, we can help you use California health insurance laws to:
- Fight a California HMO/health insurance provider for coverage outside your network
- Dispute denied benefits due to material misrepresentation claims
- Investigate your case to find failures on the part of your HMO to give you adequate care under the law
All we ask is that you talk to us during a free consultation to see if you have a case. There is no obligation, and we won't charge you a dime unless we can recover money for your health insurance claim. Just give our office a call at 1-800-4INSLAW (1-800-446-7529) or via email.