Updated Standard of Care Cements Ruling in Health Benefits Dispute
Proton beam radiation therapy is used to treat various forms of cancer. Rather than using X-rays, proton therapy directs focused energy from protons at tumors. […]
How to Defeat a Pre-Existing Condition Exclusion Denial
Many disability insurance claimants mistakenly believe that the provisions of the Affordable Care Act (ACA or Obamacare), which prohibits insurance companies from excluding coverage based on pre-existing conditions, is applicable to disability insurance. […]
Ruling Highlights Key Intersection of 2 Health Benefit Laws
The federal Mental Health Parity and Addiction Equity Act,[1] which affects health benefits by requiring equal coverage for the treatment of both physiologic conditions and behavioral health disorders, including substance use disorders, has been a growing topic of litigation […]
5th Circ. Opinion Is Right To Question ERISA Review Norms
A concurrence to a Sept. 22 opinion issued by the U.S. Court of Appeals for the Fifth Circuit[1] in a case involving a health insurance raises serious concerns about the manner in which courts review benefit claim denials under the Employee Retirement Income Security Act […]
Ruling Shows Medicare Confusion Can Lead to Costly Results
Health insurance is a critically important benefit since illness and injury are unpredictable, and the high cost of medical care makes it unaffordable to most people absent insurance. Healthcare coverage is confounding, especially if one has health insurance through their employer and are eligible for Medicare due to the so-called Medicare as secondary payer rules […]
Steps to Take if Denied Coverage for Cancer Treatment
A cancer diagnosis brings with it many challenges, including not just emotional and physical challenges but also financial and logistical hurdles as you attempt to find the best treatment options[…]