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Kantor & Kantor Wins Appeal Forcing Anthem to Pay for Residential Treatment for Client with Mental Illness

Over 50 million Americans have a mental illness. Despite this overwhelming number, the denial of health insurance coverage for mental health treatment continues to be extremely common, despite federal and state parity laws that are supposed to ensure fairness.  On January 26, 2022, our client was admitted to a residential treatment program for teens and […]

Health Insurance Benefits Are Illusory Without a Sufficient Network of Providers

Health insurance benefits are meant to cover the costs of necessary healthcare in the event of illness or injury. But what if your limited health insurance provider network makes the benefits impossible to obtain?More and more often we are seeing health insurance policies which have insufficient provider networks. If a health insurance policy provides benefits […]

World Mental Health Day 2022

make mental health & well-being for all a global priority“We must strengthen mental health care so that the full spectrum of mental health needs is met through a community-based network of accessible, affordable and quality services and supports.Stigma and discrimination continue to be a barrier to social inclusion and access to the right care; importantly, […]

If Your Long-Term Care Insurance Policy Has Been Cancelled or Your Claim Denied, We Are Here to Help

What is Long-Term Care InsuranceLong-Term Care Insurance provides coverage for elderly or chronically ill individuals who are unable to perform daily activities such as dressing, bathing or eating, or who have cognitive deficits which require them to be supervised for their own safety. These policies are often purchased decades before such coverage will be utilized […]

Knowing Your Rights and Protections Against Surprise Medical Bills

Knowing Your Rights and Protections Against Surprise Medical BillsOften, we hear from people who have received “surprise medical bills.” This blog will help you understand how you can avoid surprise medical bills, what protections you have against balance billing, and some tips to avoid balance billing altogether.What is Balance Billing?When you see a doctor or […]

Social Security Benefits Increase 5.9% in 2022 & Other Important Changes

In 1972, Congress passed legislation to provide automatic increases linked to a rise in consumer prices. Recipients would no longer have to wait for Congress to take action to receive an increase. The first automatic increases to Social Security benefits took effect in 1975. After 1982, cost of living adjustments (“COLAs”) were effective for December […]

What to Look for In Your Health Insurance Policy: Lessons learned from the NPR series “Bill of the Month” – part 2 of a 2 part blog series

I highly recommend the NPR series, “Bill of the Month,” which offers an expert analysis of medical bill surprises.This month’s bill concerns jaw surgery and a hospital bill of more than $27,000. The patient, Ely Bair, had a condition requiring two jaw surgeries. The first jaw surgery went very well and Bair paid his out-of […]

Your ERISA Watch – What a Difference Discretion Makes

Your ERISA Watch – What a Difference Discretion MakesMayer v. Ringler Assocs. Inc., No. 20-1281, __, F.4th __, 2021 WL 3556473 (2d Cir. Aug. 12, 2021) (Before Circuit Judges Walker, Sack, and Menashi).This week’s notable decision demonstrates the uphill battle ERISA claimants face in litigation with insurers over their employee benefits, particularly where courts apply […]