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UnitedHealthcare Denied Claim

UnitedHealthcare is one of the largest health insurers in the state of California, providing insurance for over 500,000 individuals across the state. UnitedHealthcare is a division of the nation’s largest provider of health insurance. The company has also been the repeated target of legal action by state and federal enforcement bodies for fraudulent practices, as well as lawsuits by physicians and patients alike for failing to comply with their guarantees of providing payment for care under agreed terms. Have you unjustly been denied of your claim from UnitedHealthcare? Read on to learn more.

A reputation for unjustified claim denials

UnitedHealthcare has developed a reputation for denying customer claims as being “unproven” or “experimental,” even where years of research and support back up the effectiveness of a treatment. Victims of seemingly-arbitrary claim denials in California may be entitled to seek compensation for the insurer’s failure to act in good faith when considering a claim for benefits. Contact the experienced and trial-tested California bad faith insurance lawyers at Gianelli & Morris to learn more about insurance bad faith claims and your right to damages.

UnitedHealthcare’s “experimental or investigational” denials can scare off clients

Insurance customers are often denied coverage for their claims for care based on the insurer’s claim that the treatment sought is “experimental.” Most health insurance policies have exclusions for treatments that are still considered “experimental” under the logic that such treatments are often costly, without a guarantee that they will bring healing to the patient. However, this exclusion of coverage is all too often used to deny treatments widely seen as providing the best possible outcome for an illness by experts in the field, simply out of an insurer’s desire to save money. Proton beam therapy was one treatment that UnitedHealthcare had long denied as experimental. These denials came even after the nation’s top hospitals began offering proton beam therapy for treating prostate cancer, when even government-funded insurers such as Medicare and Medicaid approved use of the therapy despite having their own exclusion for experimental treatment.

Many patients are intimidated by this type of denial. They may not feel confident in refuting these claims with evidence that a given treatment has an established reputation as being safe and effective, and they simply give up. Insurers often refuse to concede that treatments should be considered safe and effective until confronted with legal action. The California insurance bad faith lawyers at Gianelli & Morris have the years of experience patients need on their side when confronting insurers who wrongly deny claims for coverage. Contact our offices today for a no-cost evaluation of your insurance bad faith claim.

Gianelli & Morris has a record of successfully pursuing claims against UnitedHealthcare

The California insurance denial attorneys at Gianelli & Morris have first-hand knowledge of UnitedHealthcare’s reputation for unjustified claim denials, having represented hundreds of customers in claims against the insurer on multiple occasions. In 2017, our attorneys were appointed as class counsel for a certified class of UnitedHealthcare customers who sought artificial lumbar disc surgery (also known as “lumbar ADR”). In the face of official FDA approval of lumbar ADR as a “safe and effective” treatment of degenerative disc disease, along with years of additional supporting evidence that lumbar ADR was no longer either experimental or unproven, the insurer employed a standard practice of denying customer claims for this treatment. Our attorneys knew that this refusal to cover advanced, research-backed treatment for a painful disease went against California laws on insurance coverage, compelling us to take a stand on behalf of a class of patients.

For seasoned, compassionate, and aggressive legal help with a claim against a California health insurance provider, contact the Los Angeles offices of insurance bad faith attorneys Gianelli & Morris at 213-489-1600.

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