If your health insurance provider denies you coverage for a medical claim, you do not simply have to accept their decision. Insurers deny coverage for a variety of reasons, and in your case, their reasoning may be wrong. They may have made a mistake, they may be wrong in their interpretation of your policy... Read More »
Insurance companies make a number of excuses when they deny coverage –they’ll say the procedure is not medically necessary, the procedure is experimental or is not generally accepted in the medical community, there is a cheaper, better alternative, etc.–but what insurance companies really care about is their bottom line. When they deny you coverage... Read More »
Insurance companies are worried first and foremost about their bottom line. They will look for any reason to save money, even if that means denying coverage for medical procedures approved and recommended by your doctor. What can you do if your insurance company denies coverage for a surgery recommended by your doctor? Continue reading... Read More »
If you are hurt and you file a claim with your health insurance company, they must respond within a reasonable amount of time under California law. The law requires them to evaluate your claim appropriately, and if they choose to limit or deny your coverage, they must provide you with an explanation as to... Read More »
We’ve all heard the term “insurance fraud.” Insurance fraud happens when you lie to an insurance company to collect undeserved benefits, such as by burning down your own property and claiming someone else did it so that you can collect a payout. Well, insurance companies are required by law and contract to be just... Read More »
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