1. They utilize internal guidelines. Many insurances companies will make decisions based upon their own internal guidelines. They will deny or approve claims for eating disorder treatment, or deny a specific level of treatment, without providing transparency for how these decisions are being made. For a clear and simple description of what insurers should be […]
The American Psychiatric Association (“APA”) released their poster for Mental Health Parity and knowing your rights.The poster outlines 10 key elements of the Mental Health Parity and Addiction Equity Act 2008 (“MHPEA”) and how to identify whether your insurance company has potentially violated this law. We implore anyone who has been denied coverage by their […]
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 […]
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 conditions, […]
Do you ever wonder what justifications insurers use for denying mental health benefits? In our experience, we have come to learn that the reasoning behind these types of insurance denials can be incredibly shocking. Some insurers have the ability to make tragic, life-threatening behaviors seem insignificant and trivial.For instance, below are a few recent insurance […]
What The “Final Rules” Really MeanLast month, the mental health community celebrated as the Department of Health and Human Services (HHS) issued the “Final Rule” for the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equality Act (MHPAEA). Parity was signed into law by President George Bush in 2008. After five years of […]
A recent Department of Health and Human Services (HHS) report on The Patient Protection and Affordable Care Act (“ACA”), often referred to as “Obamacare,” announced that the October 1st launch of the Health Insurance Marketplace will allow nearly 6 out of 10 uninsured Americans access to affordable health insurance coverage. Millions of Americans will have […]
Do you have questions? We have answers. This month we decided to do something a little bit different for our newsletter. We reached out to the eating disorder community to find out the type of questions they have when seeking insurance coverage for the treatment of eating disorders. We know that this can be an […]
Things you should know about the new highly varied state insurance exchangesWith only months remaining before Americans can start buying insurance through their State’s insurance exchanges, it is important to get familiar with the vast variances of insurers between states. Depending on your state of residence, your policy choices could be limited to current and […]
A few years ago, I received a postcard in the mail from my health insurance company. It said something along the lines about how they “cared about my health” and would “always be there for me.”The offending piece of paper cued a half-hour, f-word laden rant about the hypocrisy of such statements. When I was […]
