California Health Insurance
Denied health insurance coverage?
Residents of California can be denied health insurance coverage for a variety of reasons. You may be denied coverage after reaching a maximum coverage amount due to an illness or treatment. You may be denied because of a lack of continued eligibility or even a change in job position that renders you ineligible for sustained coverage. Whatever the reason, being denied coverage can make paying for a long term illness or condition next to impossible for many Californians.
Your health insurance claim in California can be denied for a myriad of reasons. One of the most common reasons given, however, is labeled as "material misrepresentation." This is a term used whenever an insurance company deems that you have misrepresented some fact or facts on your initial or renewal application. Under California law, this error has to be something that is significant enough that it would have led the insurer to refuse your policy originally.
Typical examples of material misrepresentation include unreported or underrepresented levels of tobacco or drug use, the exclusion of a chronic medical condition, dangerous hobbies, piloting, skydiving, or a history of reckless driving.
What to Do When You've Been Denied Health Insurance Coverage in California
As a highly experienced and industry-respected law firm, our practice is the logical choice when you've been denied health insurance coverage in California. We've dealt with all types of denial cases, and we can sort out the details of yours to present a solid case on your behalf. There is no reason to be intimidated by your health insurance company with us on your side.
California Health Insurance Appeals Are Our Specialty
If you've already attempted the appeals process with poor results or are simply not sure what to do after a denial, it pays to hire a lawyer. Even if you have already filed an appeal, it may not be too late. Legal experts can help guide you in the right direction to ensure that you get the money you deserve for a health insurance claim. California law limits the amount of time you have to appeal a health insurance claim denial, so you have to move quickly in order to get the money that is owed to you.
Over the last several decades, we at Kantor & Kantor, LLP have been a leading source of legal aid for health insurance appeals in California. We've helped myriad clients overturn decisions that were made because of poor record-keeping, billing mistakes, or human error, and we can do the same for you.
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.
California Health Insurance Laws Can Work for You
At Kantor & Kantor, LLP, 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
Contact Our California Firm
At Kantor & Kantor, LLP, we firmly believe that you shouldn't have to fight the insurance company on your own. We've done court battle with major insurers in California and will not back down from any viable case. We will work tirelessly for you.
To begin, we simply ask that you come in for a consultation. We've worked with clients on a myriad of cases, ranging from health insurance denials to the denial of long term care benefits. At this critical time in your life, we know how important it is that you have reliable coverage.
Speak with us at (877) 783-8686 or via email.
“Your kindness will never be forgotten.”- Lori & David
“First of all, I want to express my extreme gratitude for probably saving my daughter's life.”- Anonymous
“I won the appeal.”- Terry S.