Can Insurance Companies Deny Cancer Treatment?

The answer to the question of “Can insurance companies deny cancer treatment?” is often different from the answer to the question of “Do insurance companies deny cancer treatment?” Although federal law often prohibits insurance companies from denying certain vital cancer treatments, patients are often forced to fight for coverage. In some cases, patients may even […]

Breast Cancer Survivor Sues Blue Cross Blue Shield for Wrongful Denial of Cancer Treatment

We are proud to represent clients against Blue Cross Blue Shield of Texas when it wrongly denies proton beam radiation therapy for cancer. This is because regardless of medical necessity, BCBS has a uniform policy to deny proton therapy treatment and force insureds to seek suboptimal treatment. Our client seeks to hold BCBS responsible for […]

Proton Therapy Treatment Approved After Insurer Initially Denied Claim

There is a tension in the American health care system between innovative medical procedures designed to save or prolong patients’ lives against the financial costs of that treatment. This tension has long simmered in proton therapy treatment of cancer. Standard radiation therapy has improved over the years and effectively controls many cancers. However, X-ray beams […]

Health Insurance Claim Denials: Aetna Doesn’t Review Medical Records

Recently, in a California insurance lawsuit involving the wrongful denial of health insurance benefits to a 19-year old claimant suffering from a rare immune-system disorder, a former medical director at Aetna (the defendant health insurer) admitted under oath to having never reviewed patient medical records when determining whether to deny health insurance claims. The testimony […]