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Insurance Denials/Bad Faith Information, News & Blogs

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Anthem Canceling Grandfathered Insurance Plans Forcing Customers to Buy New Plans and Spend More and Get Less

By Gianelli & Morris |

One of the benefits of sticking with a company that provides a consumer service for a long time is taking advantage of good deals that don’t last. We all have that one friend who still gets unlimited data for pennies with a cell phone wireless plan they signed up for 15 years ago. Corporations,… Read More »

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UnitedHealthcare Might Soon Start to Retroactively Reject ER Visits

By Gianelli & Morris |

A few weeks ago, we took a deeper look into Anthem’s policy on avoidable emergency room (ER) visits. Anthem had implemented a policy of denying coverage for ER visits that they decided were “avoidable” or “unnecessary,” even if the patient at the time felt there was an emergency. It turns out that Anthem is… Read More »

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What to Do if Your Life Insurance Denies Your AD&D Claim

By Gianelli & Morris |

Accidental death & dismemberment insurance (AD&D) is meant to provide financial security for the family of a person who is killed in an unexpected accident. Accidents can generate significant financial hardship, especially when the victim is a primary income-earner for the family. Unfortunately, insurance companies are known to add insult to injury by finding… Read More »

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Advanced Medicine, Trusted Care. Attractive woman at the dental office. Dentist examining patient's teeth in clinic.

Medical Necessity and Dental Procedures

By Gianelli & Morris |

Anyone who has had a serious dental problem knows that oral health can absolutely affect your overall health. If you don’t have dental insurance, a dental or orthodontic procedure can be prohibitively expensive. Under certain circumstances, however, you may be able to get your dental procedures covered under your general health insurance plan. If… Read More »

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emergency room at the hospital

Anthem’s Policy on Avoidable ER Visits: A Closer Look

By Gianelli & Morris |

Anthem is one of the leading providers of health insurance in California and the second-largest insurer in the country. Like many large insurance companies, Anthem has a history of using shady tactics to avoid paying out on claims that should rightfully be covered. In addition to blanket policies denying coverage for debilitating conditions by… Read More »

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Silhouette stressful and sad Asian man sitting and worried while having medical treatment with hospital curtain and window as background.

What to Do if Health Net Denies Chemotherapy Claim

By Gianelli & Morris |

A cancer diagnosis is terrible, but in the modern era, it is not necessarily a death sentence. Cancer treatments have advanced radically in the past few decades. Treatments such as chemotherapy are, unfortunately, extremely expensive. Several years of treatment can bankrupt a family if their insurance does not cover the procedures. Insurance providers that… Read More »

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Insurance Companies Can Get Fined For Ignoring Claims

By Gianelli & Morris |

Insurance providers are required by law to investigate and respond to claims within a reasonable period of time. Failing to conduct a proper investigation or make a finding on a claim within a reasonable time can open insurance providers up to liability for bad faith practices. Additionally, insurance companies are required to respond to… Read More »

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Tired depressed female african nurse wearing face mask sits on hospital floor.

For Doctors: Disability Insurance & Life Insurance Through COVID-19

By Gianelli & Morris |

Physicians and other healthcare workers are directly exposed to the novel coronavirus on a daily basis. At many points throughout the pandemic, they have been left without adequate personal protective equipment (PPE) or clear guidelines on how to isolate, treat, and avoid infection from active coronavirus patients. Doctors, like people in other professions, are… Read More »

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Doctor talking to a patient at medical clinic.

Why Disability Insurance Companies Deny Benefits to Medical Professionals

By Gianelli & Morris |

Medical professionals often face unique challenges when seeking long-term disability (LTD) benefits. Medical professionals often have high salaries and benefits, which means that insurance payouts would be larger than for members of other professions. As a result, claims adjusters are likely to be even more stringent when evaluating disability claims from physicians and other… Read More »

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Portrait of a young man with injured leg at home

Doctors With Long-Term Disability Policies Face Extra Scrutiny From Insurance Companies

By Gianelli & Morris |

Disability insurance protects medical professionals in the event that injury or illness prevents them from continuing in their profession. Insurance companies, however, do not favor doctors over any professionals; if they can find a reason to deny long-term disability (LTD) or short-term disability (STD) benefits to physicians in order to protect their profit margin,… Read More »

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