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 […]
Spencer Hoff is a young college student with a diagnosis of congenital cerebral palsy with spastic quadriplegia. He is non-ambulatory and has used a power wheelchair for years. The power wheelchair is Spencer’s means of mobility, independence, and freedom.Spencer is a productive and independent college student because of the power wheelchair with a joystick to […]
The internet provides patients with the resources to locate healthcare providers anywhere in the world. But whether your health insurance pays benefits for treatment with a health care provider anywhere in the world is another issue. Patients are often unhappily surprised when they discover that their health insurance policy limits them to healthcare only within […]
In Jessica U. v. Health Care Service Corp., No. CV 18-05-H-CCL, 2020 WL 6504437 (D. Mont. Nov. 5, 2020), the court considered the residential treatment of Jessica, a 16-year-old with a long history of medical and mental health conditions. Jessica had a complicated history of gastric distress and illness which preceded her residential treatment by […]
Kantor & Kantor, LLP achieved another victory in a mental health benefits case from the District of Utah, Rachel S. v. Life and Health Benefits Plan of American Red Cross, No. 2:14-CV-778, 2020 WL 6204402 (D. Utah Oct. 22, 2020). In Rachel S., the plaintiff seeks benefits for residential treatment denied by Cigna, the Plan’s […]
The tide is turning on coverage for nutritional counseling for eating disorder patients. Many eating disorder patients are wrongfully denied coverage for nutritional counseling despite evidence that such treatment is an effective component for the treatment of eating disorders.On August 22, 2016, New York Attorney General Eric T. Schneiderman announced a settlement with HealthNow, New […]
