Who’s Affected
If a California insurance company refused to cover or suddenly stopped covering a medically necessary treatment, you may have a legal claim.
Insurance companies are legally required to act in good faith and practice fair practices when processing claims. However, some companies may deny valid insurance claims or offer to pay far less than the claim is worth in an effort to increase profits.
If this happens, you have the right to hold your insurer responsible by filing a bad faith insurance lawsuit.
Bad faith insurance lawyers are investigating allegations from California policyholders who claim they were denied coverage for a variety of health services, including but not limited to:
- Autism Treatment
- Mental Health Treatment
- Plastic Surgery Skin Removal after Weight Loss
- Proton Therapy
Some of the California health insurance companies being investigated for potential insurance bad faith practices include:
- Aetna
- Anthem Blue Cross
- Blue Cross
- Blue Shield of California
- Cigna
- Health Net
- Kaiser
- Secured Horizons
- United Healthcare
- WellPoint
- Others
Fill out the form on the right to join a FREE bad faith lawsuit investigation.
What is Insurance Bad Faith?
An insurance company commits bad faith when it unreasonably handles your insurance claim. Some examples of insurance bad faith in California include:
- Unreasonable denial of a covered insurance claim
- Underpaying an insurance claim
- Unreasonable delay in paying an insurance claim
- Refusing to authorize medical treatment that is reasonable and necessary
- Misleading a claimant about the legal deadline for filing a medical claim or a bad faith lawsuit
Some common types of denied insurance claims include coverage for the following:
- Autism Treatment. Including Applied Behavioral Analysis (ABA), speech therapy, and occupational therapy.
- Mental Health Treatment. Including residential treatment for anorexia nervosa and bulimia nervosa, bipolar disorder, major depression, obsessive-compulsive disorder (OCD), panic disorder, schizophrenia, and other severe mental illnesses.
- Plastic Surgery after Weight Loss. Including excess skin removal through body contouring surgery, body lift, arm lift, leg lift, tummy tuck, abdominoplasty, panniculectomy, other plastic surgery skin removal procedures.
- Proton Therapy for the treatment of cancer.
How do I Fight a Denied Claim?
Under the Affordable Care Act, you have the right to appeal a denied claim. The law allows you to file an internal appeal with your insurer as well as receive an external review from an independent third party.
Fighting a denied insurance claim can be aggravating and time-consuming. But there are several strategies that can help you win an appeal.
- Find out why your claim was denied. Call the insurance company as soon as you receive your explanation of benefits (EOB). The insurer has a responsibility to explain the denial in terms you understand.
- Gather evidence. Collect all the paperwork you need to show why the services you’re requesting are medically necessary. This can include your medical history, doctor referrals, prescriptions, etc. You will also want to reference your health plan’s medical guidelines for the treatment you received or wish to receive.
- Stay organized. Keep all your paperwork organized and take detailed notes during every phone call with the insurance company. Pay attention to deadlines and follow up if the insurer fails to get back to you when promised.
- Get legal help. If you’ve exhausted the appeals process and your medically necessary claim is still being denied, you may want to consider hiring a bad faith insurance attorney. You can receive a free case evaluation by one filling out the form on the right.
Join a Free California Insurance Bad Faith Denial Investigation
A bad faith lawsuit investigation has been launched into allegations that some California insurance companies are refusing to pay valid medical claims or offering to pay far less than the claim is worth. Some of the companies being investigated for potential violations include:
- Aetna
- Anthem Blue Cross
- Blue Cross
- Blue Shield of California
- Cigna
- Health Net
- Kaiser
- Secured Horizons
- United Healthcare
- WellPoint
- Others
If you or a loved one were denied coverage for autism treatment, mental health treatment, plastic surgery skin removal after weight loss, proton therapy for cancer, or some other medically necessary treatment, you may have a legal claim.
Fill out the form on this page now to see if you qualify!
Get Help – It’s Free
Join a Free California Bad Faith Insurance Lawsuit Investigation
If you qualify, an attorney will contact you to discuss the details of your potential case at no charge to you.
- First Name*
- Last Name*
- Street Address*
- Apt. #
- City*
- State*
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific
- Zip Code*
- Phone*
- Email*
- Please select the health services that your insurer denied coverage for:*
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Autism Treatment
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Mental Health Treatment
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Plastic Surgery Skin Removal after Weight Loss
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Proton Therapy
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Other (please list in the additional details box below)
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- Please select your California health insurance provider at the time this claim was denied:*
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Aetna
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Anthem Blue Cross
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Blue Cross
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Blue Shield of California
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Cigna
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Health Net
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Kaiser
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United Healthcare
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WellPoint
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Other (please list in the “Additional Information” box below.)
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- ¿Necesita un orador español?
- Yes
- No
- Please enter any additional information you would like the staff reviewing your submission to know. Remember, the more detailed your complaint, the more likely you will be contacted for a free case evaluation.
- I understand and agree that submitting this form does not create an attorney-client relationship and that the information I submit is not confidential or privileged and may be shared.*
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Yes
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