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friendly female doctor with patient in office at reception

How Does a California Insurance Bad Faith Claim Work?

By Gianelli & Morris |

Health insurance is designed to provide its customers with care when they become sick or injured, yet insurance companies are known to unreasonably deny claims for coverage that would cut into their profits. Insurance companies already rake in billions of dollars in profits through the premiums they collect; refusing to pay valid claims is… Read More »

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New aluminum prostheses legs for amputee patient

Insurers Facing Lawsuits over Denials of Microprocessor Prostheses

By Gianelli & Morris |

Losing a limb can change someone’s life forever. While it may never be possible to regain full mobility or use of the limb that was lost, prosthetic technology has come a long way in developing prostheses that can respond to surface conditions in real time. Sadly, many patients who would benefit from these technologies… Read More »

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Artificial intervertebral disc prosthesis is installed between the cervical vertebrae

ADR Can Yield Better Results than Fusion, so Why Do Insurance Companies Try to Deny It?

By Gianelli & Morris |

Artificial Disc Replacement (ADR) surgery has existed as an alternative to spinal fusion for over 30 years. Many doctors and researchers will attest that ADR provides more successful outcomes for patients than spinal fusion, offering a shorter recovery period and reducing the likelihood that patients will need additional surgical procedures in the future. ADR… Read More »

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law and justice concept, client discussion lawyer judgement lawsuit with holding pen, law book,gavel and scales of justice at table in office.

What is the Statute of Limitations for a Bad Faith Claim against a California Insurer?

By Gianelli & Morris |

California residents who enter into a contract for health insurance have a right to expect that, if they pay all premiums and co-pays, their injuries, illnesses, and other medical needs will be covered by their insurer according to the terms of their coverage. If benefits are withheld without good reason, the insurer may face… Read More »

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Bad faith lawyer standing in front of pack of lawyers

How Do I Choose the Right Lawyer for My Bad Faith Claim?

By Gianelli & Morris |

If you believe that you’ve had an insurance claim denied wrongfully, you may have the right to file a lawsuit for money damages. These claims can be complex, involving not only contract laws and California laws governing health insurer conduct, but also medical research and best practices. Not every attorney has the skills and… Read More »

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Insurance Consumer Complaints against denial of medical claims

DMHC Consumer Complaints 2017 Annual Report Exposes Bad Faith Denials

By Gianelli & Morris |

The California Department of Managed Health Care (DMHC) is the regulatory office charged with overseeing the majority of health insurance coverage in the state. Health insurance policyholders can report disputes with their insurance provider to the DMHC, which will investigate those complaints, conduct independent medical reviews of denied claims, and carry out enforcement actions… Read More »

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Bariatric Surgery is an excess skin removal surgery

Insurers Deny Coverage for Excess Skin Removal Following Bariatric Surgery

By Gianelli & Morris |

As we have discussed time and again, insurers are always looking for reasons to deny coverage. Particularly where a procedure could possibly be defined as “cosmetic,” insurers will refuse coverage if they can find any justification to do so. But even so-called cosmetic issues can be disabling and disfiguring, and California law does not… Read More »

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friendly female doctor with patient in office during reception filing insurance claim

Elements of a Bad Faith Insurance Claim and What to Do About It

By Gianelli & Morris |

Insurance policyholders who are current on premiums and follow the rules have a legal right to receive coverage for claims included under the terms of their policy. If health insurers fail to provide payment for these covered claims, they’re not only breaching their contract and breaking the law, they’re potentially putting their policyholder’s life… Read More »

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Health Insurance Denied

Insurance Companies Are Denying Coverage For Lipedema Treatments

By Gianelli & Morris |

Lipedema is a very common yet serious, painful, and crippling condition that affects nearly 11% of adult women worldwide. There are known treatments for lipedema, but insurance companies have taken strong stances against covering the cost of these cures for their paying policyholders. The dedicated and compassionate Los Angeles insurance bad faith attorneys at… Read More »

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reconstructive surgery, 3D rendering, street signs

Insurance Denial of Reconstructive Surgery

By Gianelli & Morris |

Too often, reconstructive surgery is denied for insurance reimbursement because insurance companies deem the surgery cosmetic and not medically necessary. The insurance companies assert that a medical necessity requires the illness to cause a functional, medical impairment for the patient, and insurance benefits are not available for a procedure done primarily to improve appearance…. Read More »

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