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.
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.