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Health Insurance/HMO Claims

California Lawyers Challenging Health Insurance Denial

Denial of health insurance claims can be devastating at a time when you most need the financial support of your health insurance policy. Medical bills are one of the top reasons for personal bankruptcies.

If you are involved in a healthcare or HMO coverage dispute or believe your claim for health insurance benefits has been unreasonably denied, please contact Pillsbury & Levinson, LLP in San Francisco today. Our insurance law attorneys represent individuals in health insurance claim denials throughout the state, and our success has been noted in media coverage.

Decrease Care to Increase Profits

Health insurance companies and HMOs maximize profits by minimizing the amount of benefits they pay to policyholders. In their zeal to reduce costs, health insurance companies often unreasonably deny, delay or reduce payment of valid claims or otherwise act in bad faith. Through negotiation, arbitration and litigation, our law firm stands up for the rights of policyholders and persuades — or compels — insurance companies to live up to the terms of their policies.

We have extensive experience with health insurance companies who have not adequately considered their policyholders' best interests. For example, we represent clients in these situations:

  • The insurance company preapproves an expensive medical procedure, then turns around and refuses to pay the bill after the surgery was completed.
  • A policyholder is denied the opportunity for treatment by the only doctor in the country who is experienced in treatment of their child's rare disease.
  • The insurance company denies a claim because it says a medical procedure is experimental — even when doctors disagree.
  • Insurance companies deny coverage for out-of-network emergency care, when a patient was in no condition to call the insurer for preapproval.

Whether you purchase your insurance coverage directly from an insurance company or through your employer, we know how to help you get the benefits you are paying for. To discuss your health insurance denial, please contact us today.

"From my very first dealings with this firm, it was clear I was in highly capable hands. My complex case was handled expertly at every step by compassionate attorneys and staff who relentlessly built the strongest case possible. I am lucky I found them."

Michael Keating

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