Skip to main content

Health Insurance Benefits Are Illusory Without a Sufficient Network of Providers

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 […]

UMR Denies Power Wheelchair to College Student With Cerebral Palsy

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 […]

Is Oregon Going to Allow Suits For Insurance Bad Faith?

Oregon to date has declined to recognize first-party bad faith claims against insurers, and only allowed tort claims against an insurer in limited circumstances where a special relationship existed between insured and insurer. This means that in Oregon, first-party claims against insurers have been limited to contract damages and not allowed the recovery of extra-contractual […]

Three reasons why hiring an attorney to handle your appeal may have advantages you had not considered

Suppose you are appealing the denial of your insurance benefits. In that case, there is a greater chance that you will end up in litigation with the insurance company. That is simply a fact. Of course, a well-presented appeal makes litigation less likely, but it still happens. After all, it is difficult to convince an […]

The Tide Is Turning For Insureds Seeking Coverage For Proton Beam Radiation Therapy

Proton Beam Radiation Therapy (“PBRT”) is a type of radiation cancer treatment. PRBT delivers a beam of protons directly to the cancerous tumor causing less damage to surrounding healthy tissue. Traditional radiation therapy provides for a less targeted approach, damaging surrounding tissue and causing greater side effects. Insurers have been reluctant to approve PRBT claiming […]

How Do You Win A Bad Faith Lawsuit?

What is bad faith? In many states, including California, Washington, Arizona, Nevada and Colorado, when your insurance company breaches their contract with you, it could potentially be more than a breach of contract. It could also be a breach of the implied covenant of good faith and fair dealing, which is known as “bad faith.” […]

Suicide is one of the fastest-growing epidemics around the world: September is National Suicide Prevention Month

“I think suicide is sort of like cancer was 50 years ago. People don’t want to talk about it, they don’t want to know about it. People are frightened of it, and they don’t understand, when actually these issues are treatable.” – Judy Collins.According to the International Association for Suicide Prevention:One in every 100 deaths […]