Reconstructive Surgery Claims in Los Angeles

Difference Between Cosmetic and Reconstructive Surgery

In the California area, it is typical that many individuals get cosmetic surgery in an attempt to feel better about themselves. Due to this fact, many insurance providers discount any request for plastic surgery of any kind, thinking that people are merely getting work done for self-esteem issues. There is, however, a major difference between cosmetic surgery and reconstructive surgery.

If your reconstructive surgery claim has been denied, call (213) 798-4860 to contact Gianelli & Morris today!

As stated in the California Health and Safety Code §1367.63, every health care provider must cover reconstructive surgery that is intended to fix any "abnormal structures of the body caused by congenital defects, developmental abnormalities, trauma, infection, tumors, or disease." Such surgery usually allows for a more normal appearance or for the individual's body to perform its proper functions.

There are many examples of this kind of surgery, including:

  • Correction of cleft palate
  • Breast reconstruction following a mastectomy to treat breast cancer
  • Removal of excess skin remaining after bariatric surgery for treatment of morbid obesity

It is important that you receive the help you need so you can get back to your normal life without having to wait on the insurance company. These providers have no legal right to deny you your surgery claims in regard to reconstructing irregularities.

In reality, this is the time that you should be able to rely on their help the most. You first invested in insurance to protect yourself from these kinds of situations. Speak with a Los Angeles insurance attorney from our firm right away if you need assistance in this area.

Seek Help from a Los Angeles Insurance Attorney

If you are in medical need of reconstructive surgery, but are encountering difficulty in being granted your request, it is time to talk with an attorney. There are times when health insurance providers can prove difficult to negotiate with unless you have legal representation on your side. At our firm, our lawyers are prepared to fight for the rights you deserve so that you can receive necessary medical attention.

Allow our compassionate and understanding team to navigate through this time and utilize more than 35 years of experience to achieve the results you want. Do not wait any longer, contact Gianelli & Morris today.