Health Insurance

Health Insurance Benefits in California and Nationwide

Kantor & Kantor, LLP Can Help Get Your Health Insurance Benefits Paid

Increasingly, health insurance companies are wrongfully denying health insurance claims. When insurance companies wrongly deny health benefits, patients are not just denied their insurance benefits, but they are often denied access to medically necessary treatment, surgery, medications, or other health services recommended by their treating physician or treatment team. 

Why Would a Health Insurance Claim be Denied?

A health insurance company can deny a claim for many reasons, including:

  • The treatment or service isn’t deemed medically necessary or appropriate
  • The plan doesn’t cover the treatment, service, or medication
  • The health care provider isn’t in your plan’s network
  • Your insurer requires preauthorization 
  • The treatment is considered investigational or experimental
  • The claim wasn’t filed on time

At Kantor & Kantor, we work with patients and their families to ensure health benefits get paid when health insurance companies refuse to pay for medically necessary care, treatment, or medications. Our attorneys have extensive experience appealing and litigating health insurance claim denials on behalf of our clients in California and across the country. 

We Advocate for Clients with Different Health and Mental Health Conditions

We have the knowledge and experience to help clients with a variety of health and mental health conditions, including the following: 

  • Brain Cancer 
  • Breast Cancer
  • Prostate Cancer
  • Multiple Sclerosis
  • Lipedema
  • Anorexia
  • Bulimia
  • Binge Eating Disorder 
  • Depression
  • PTSD
  • Schizophrenia
  • Generalized Anxiety Disorder
  • Substance Use Disorders 

Healthcare is critical and when health benefits are denied by an insurance company most people give up because trying to communicate with an insurance company to get medically necessary healthcare covered can be confusing and complicated. Our attorneys have in-depth knowledge of both state and federal laws and know what to do to get health insurance benefits paid. 


Receive your free consultation with our leading  health insurance lawyers in California by calling (877) 220-0556 or contacting us online today!


 

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Victories Against Nationwide Insurance Companies

Whether you have an employer health plan or an individual insurance policy, we have fought against the following major health insurance companies and won:

  • Aetna
  • Anthem
  • CIGNA
  • Health Net
  • Kaiser
  • United Healthcare
  • Blue Cross and Blue Shield
  • And all other major health insurers

Meaningful Class Action Settlements for Our Clients 

Our healthcare attorneys have obtained meaningful class action settlements for our clients, including the following:

  • Blue Shield required to pay for residential treatment for members with anorexia or bulimia under California’s Mental Health Parity Act. Rea v. Blue Shield of California (2021)
  • Anthem agreed to require company to provide treatment for mental illness for members who also had substance use disorders. Ames v. Anthem Blue Cross Life and Health Ins. Co. (2020)
  • Anthem agreed to apply appropriate medical necessity criteria to claims for eating disorder treatment. Bailey v. Anthem Blue Cross Life and Health Ins. Co. (2022); Oppel v. Anthem Blue Cross (2018); Banken v. Anthem Blue Cross (2018)
  • Kaiser agreed to stop “patient dumping” members with severe mental illness and requiring those members to cancel their Kaiser coverage to gain admission to locked residential facilities paid for by taxpayers. Kerr v. Kaiser Foundation Health Plan (2018)
  • There is NO better legal advice to be gained than K&K when it comes to advocating and/or litigating for health insurance coverage to treat eating disorders. There is a special place reserved in Heaven for them. AAAAAA++++++!

    - David S.
  • After we had tried everything we could to get UHC to do the right thing, we contacted Elizabeth Green at Kantor for help. Elizabeth was compassionate, understanding, patient and very communicative with us

    - Leslie K.

Contact Us

Get Started With Us Today

Learn more about our legal team and discuss the details of your case by completing our contact form or by giving us a call at (877) 220-0556 . Our consultations are free.

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