While this story certainly involves the denial of healthcare benefits, insurance, mental health parity, and questionable legal tactics, this is actually a story of waste at the expense of children of New Jersey state employees.GC suffered from anorexia nervosa. She received residential treatment for her eating disorder at Avalon Hills Residential Eating Disorders Program (“Avalon […]
Our client is a young woman who entered residential treatment for bulimia nervosa in September 2011. Prior to September 2011, her eating disorder went untreated for ten years. Over the two year period prior to September 2011, the young woman cycled in and out of outpatient treatment, inpatient treatment, partial hospitalization treatment, intensive outpatient treatment […]
There are various types of mental health treatment, and as some people might say, “there is something for everyone.”Mental health issues range from emotional distress in one or more areas of life to a more serious diagnosis of a mental illness. When someone lives with mental health problems, whether mild or moderate or severe, he […]
Kantor & Kantor is happy to announce that it has won an important victory in New Jersey on behalf of a woman with bulimia nervosa.The woman, whose name is being kept anonymous to protect her privacy, began experiencing symptoms of her eating disorder when she was only eight years old. The eating disorder was left […]
Guest Post by Lauren Muhlheim, Psy.D., CEDS, and Alli Spotts-De Lazzer, LMFT, LPCC, CEDSIn our previous article, “Consumer Beware: What You Should Know About In-Network Insurance Provider Lists,” we described how parent advocate, James Cameron, had difficulty finding qualified eating disorder trained providers among the list of “eating disorder therapists” provided by his insurer. Upon […]
And remember – we call it the good fight not because it is the easy fight but because it is the right fight. – Cleo WadeYesterday something big happened. Something huge.It’s called The 21st Century Cures Act and it has been termed the most significant piece of mental health legislation since 2008. This bill, the […]
Kantor & Kantor is happy to announce that it has won an important victory on behalf of a young woman with bulimia nervosa.The woman, whose name has been kept anonymous by the court due to her young age, entered residential treatment for her bulimia in 2012. She submitted a claim for benefits to her insurance […]
You may have heard about – or directly experienced – an insurance denial for some type of medical care (i.e. you need a medical treatment or service, and your insurance company thinks otherwise). You may have even experienced an outright lack of coverage for specific medical needs (i.e. you need a medical treatment or service, […]
It is excruciatingly painful to remember how much she suffered and how helpless we felt when we were fighting for her life at the same time we were fighting her insurance company. The pain of having a child die does not go away. It does become bearable over time and I have found a way […]
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 […]
