Blog: Health Insurance

Mental illness affects a significant number of Americans, and many of them are not able to get the treatment they need. Even when health plans cover mental health benefits, they can be harder to access and less comprehensive than other types of health benefits. The Mental Health Parity Act (MHPA) of 1996 was the original […]

Many patients who are receiving treatment for cancer may pursue proton therapy. This recent development in radiation therapy uses protons instead of X-rays. Since X-rays are known to put patients at risk of additional illnesses, proton therapy is extremely promising with fewer side effects. However, the availability of this treatment is limited to only a […]

Amar Raval and the team at Berg, Plummer, Johnson, and Raval are amazing lawyers and great to work with. They explain everything in detail and make the process a better learning experience. They are always available to help quickly and maintain a high level of professionalism.

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 […]

Mr. Raval was the first attorney I found in a web search. Three other attorneys I spoke with as well recommended him. So, we first encountered his excellence among his peers. We hired him to represent my wife against an LTD (long term disability) claim denial. He convinced the insurance company to reverse its decision […]

Amar Raval and his team are who you want on your side when dealing with an insurance company that is delaying your benefits. He stays in contact and is a go-getter. I enjoyed working with him.

Earlier this month, a Las Vegas jury awarded the family of a man who was wrongly denied health insurance coverage a $200 million civil verdict against Sierra Health and Life Insurance. William George “Bill” Eskew was diagnosed with lung cancer in 2015. Mr. Eskew and his wife purchased a health insurance policy from Sierra Health […]

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 […]

Roslyn Gonzalez was out of options when she decided on her cancer treatment. Blue Cross Blue Shield of Texas (BCBS) chose to save a few thousand dollars to ensure more profits for its shareholders. In doing so, it denied Ms. Gonzalez a safer course of treatment and ensured that she would never bear children. Ms. […]

I received a bill from the hospital for $25,000 stating my insurance company did not approve my knee surgery. After investigating, attorney Amar Raval found that the hospital did not follow the proper procedure or process to get my surgery authorized through my insurance company.

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 […]