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Four Things You Should Know during treatment in california

Seeking Legal Assistance for Treatment of an Eating Disorder with Kantor & Kantor, LLP

At Kantor & Kantor, LLP, we understand that dealing with and seeking treatment for eating disorders can be emotionally and financially devastating. When your health insurance company denies payment for benefits, matters only go from bad to worse. We can help.

Use the tips below to advocate for insurance coverage for eating disorder treatment:

  • Once your claim has been denied by your insurance company, contact Kantor & Kantor, LLP for help. Until you have an actual denial in writing, your insurance company may change its mind and cover your treatment.
  • In order for us to help you, you must receive treatment and stay in treatment, even after a denial of benefits. You must be able to STAY in treatment.

We understand that treatment is extremely costly. When your insurance company denies coverage, this can become an even more stressful time focused on financial burden rather than recovery and treatment. In order for you to focus on recovery, we advise following your treatment providers' recommendations for treatment protocol, level of care, and length of treatment. Let us work with your insurance company to help with that part of your journey. We will seek reimbursement of the benefits available under your policy.

In order for us to seek reimbursement, the law requires proof of an outstanding bill or payment for the treatment:

  • Under ERISA (Employee Retirement Income Security Act), you have the right to file a lawsuit to recover unpaid benefits. If you do not have unpaid benefits, there is no ERISA claim. If you have been denied benefits by your insurance company for treatment, but leave treatment without paying anything out of pocket, you do not have unpaid benefits. We encourage clients to seek proper treatment based on their treatment providers' recommendations, not the treatment dictated by the insurance company.
  • Know your policy/plan! Request a copy from your employer or the insurance company and become familiar with it. They are required to give you a complete copy upon your request. Every plan has its own rules and timing limitations with regard to submitting appeals and filing a lawsuit. Each plan and every state has its own requirement as to how long you have to act. We have encountered statute of limitations from as little as 30 days to as long as four years. Don't let this prevent you from pursuing an appeal or litigation.

Keep these steps in mind when beginning your recovery journey. If your health claim is denied, following these simple guidelines will make it much easier to get your benefits recovered.

About Kantor & Kantor, LLP's Eating Disorder Practice

Kantor & Kantor, LLP has developed a specialized legal practice representing clients whose claims for treatment of eating disorders, and dual diagnosis (substance abuse and other co-morbid conditions) have been unfairly denied by their health insurers or benefit plan. Kantor & Kantor, LLP's aggressive approach to litigation and legislation has brought justice for clients who have found themselves fighting for their insurance benefits when benefits were wrongfully denied. Unlike other firms, we work on a contingency fee basis, meaning we do not collect a fee unless we get your claim paid.

Please call us at (818) 886-2525 with any questions for a no-cost consultation.
We understand and can help.

What Sets Us Apart?

  • Free Case Consultations Provided
  • 160+ Years' Collective Experience
  • Thousands Of Cases Successfully Handled
  • You Don't Pay Us Unless We Recover Your Claim
  • Selected For Inclusion In The List Of Super Lawyers®

Client Testimonials

  • With you in my corner, I felt enabled and no longer alone.

    “Seemingly at the end of my rope with nowhere to turn, a friend suggested I call the National Multiple Sclerosis Society, who referred me to you. From our first contact I began to feel hope where there had been none. You took over all communication with the insurance company. You kept me posted as things progressed and advised me as to each necessary action. What a relief you were! With you in my corner, I felt enabled and no longer alone. Some big insurance companies feel emboldened to take arbitrary action against those who do not have the resources to defend what is rightfully theirs. Thank goodness for people like you who advocate for folks in need. In closing, please know how very much our association has meant. You have restored my faith in the goodness of people and renewed my confidence in the future. I am forever grateful.”

    Shirley G.

  • Thank you for all of your hard work, support and belief in our case.

    “Hi Elizabeth - You have been such an important part of my and Jennifer's past year, and I want to send you a note to wish you a wonderful holiday. Thank you for all of your hard work, support and belief in our case. Thank you seems like two small words and not enough, but they are heartfelt and mean so much.”

    J.H.

  • First of all, I want to express my extreme gratitude for probably saving my daughter's life.

    “First of all, I want to express my extreme gratitude for probably saving my daughter's life. By staying in treatment, the improvement is remarkable. She had been in eating disorder facilities many times, and treatment had been interrupted repeatedly by Anthem Blue Cross's denying benefits. Many of the health professionals were telling me that maybe my daughter was a hopeless case. You both gave me hope. She is still struggling with some residual issues around eating, but the change in her attitude, her ability to assess her own recovery, and her wish to live instead of to die, is evident in her life. Now she is back in school, after years of having her education disrupted by the eating disorder. She goes places with friends, and even goes out to restaurants for fun! This year marked the first holiday season for many years, when she had not been in a treatment facility. Other people gave up and you didn't. I can't thank you enough. You took the action that was necessary to keep my daughter in treatment long enough for it to work.”

    Anonymous

  • Thank you a zillion times for your patience and time and absolutely helpful information.

    “Thank you a zillion times for your patience and time and absolutely helpful information. You've helped me understand my position with my disability insurance and payments so much better. There is some real comfort in feeling anchored in knowledge…of what is and what might be in the future. Thanks to you!”

    B.

  • I am so grateful for all your efforts and I'm sure glad you were on my side fighting for me.

    “Dear Alan - I just wanted to send you a special note of thanks for all your hard work on behalf of me and my case. I am so grateful for all your efforts and I'm sure glad you were on my side fighting for me.”

    Tracy R.