Navigating the complexities of health insurance disputes can be overwhelming, especially during a time of need. The Sasser Law Firm has extensive experience advocating for clients facing health insurance denials. Our Charlotte health insurance lawyer understands the intricacies of ERISA law, the nuances of Marketplace plans, and the importance of timely appeals and external reviews. Contact us today to schedule a consultation.
We know how to properly manage your claim from the beginning of the administrative process, through litigation.
We have the experience both in and out of the courtroom that will put you in the best position to fight for your victory.
Our team isn’t afraid to go to trial because we have the courtroom practice and know what it takes to pursue a tough case.
If you receive your health insurance through your or your spouse’s employer, it is likely subject to the Employee Retirement Income Security Act of 1974 (ERISA). ERISA is a complex federal statute that deals with employee benefits plans and, importantly, how benefit denials can be made and challenged. It’s important to work with a Charlotte health insurance attorney before you submit any ERISA appeal. The information provided on appeal will greatly impact your likelihood of success if you have to move forward with filing a lawsuit. Don’t wait to hire an attorney until it is too late.
Some health insurance plans, including those purchased on the Health Insurance Marketplace, are exempt from ERISA. It’s important to find a firm like ours that knows the nuances of the law and can help you assess all possible paths to get the insurance company to pay for covered services.
In addition to an appeal, under the Affordable Care Act, you may be entitled to seek an “External Review” of your claim denial. It is important to talk with a knowledgeable attorney as soon as you receive notice that the insurer is denying your claim, so that you can preserve all possible routes for an appeal. We offer complementary consultations on all insurance disputes.
Often, health insurance policies cover benefits for medical services that are deemed “medically necessary.” The legal definition of “medically necessary” may be more beneficial to you than you realize. Contact us to review the denial of your coverage.
We have specific experience challenging denials of coverage for persons receiving long-term care. Don’t let the insurance company refuse to provide the health coverage you purchased. Contact our Charlotte lawyers to see if we are able to help with your health insurance claim.
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