Inappropriate Care Accusations

New York Disability Insurance Claim Attorney Representing NY Clients Denied Because of “Not Receiving Appropriate Care for a Medical Condition”

When we purchase a disability insurance policy, we hope that the insurance company’s goal is to ensure a bright future that was stripped away by your sickness or injury. Unfortunately, insurance companies often do not have their customers’ lives in mind when they need to file a claim. Because insurance companies are “for-profit,” they will employ unfair tactics to limit payments to their customers, even denying claims completely. If you have been impacted by an insurance company that claims you did not receive the proper type of care for your medical condition, you need to consider your legal options.  If you need quality legal support from an experienced law firm, contact Gisonni Law Firm for a consultation.

When Insurance Companies Attack Your Medical Care

Another unfair tactic employed by disability insurers is an attack on the type of care you are receiving for your medical condition causing your disability.  Disability policies require insureds to be under the care of a physician in order to get benefits.  Most policies do not specify the type of care that you are required to have.  Recent claim denial trends show aggressive disability insurers scrutinizing the specialty of the physician providing your treatment, the types of medications he is prescribing and some have gone so far as to claim that treatment is not sufficient if it is not designed to return you to work.

What You Can Do

So, what can you do if your disability insurer claims you are not receiving appropriate care?  First, look at your policy language.  That is the governing factor in this instance.  Then ask your disability insurer to point to the language in the disability policy that allows the company to deny your claim on this basis.  If no such language exists, you certainly have a right to fight this bad treatment.

Contact Gisonni Law Firm, P.C. for a consultation

If you have a concern or questions, ask a qualified disability attorney. Our firm understands the struggle of trying to file a claim with your insurance company. When they use dishonest tactics to deny your claim or limit your payments, you need to consider your rights and future. Gisonni Law Firm has been a legal resource in New York for many years. After years of serving the community with effective legal support after a claim denial, we continue to see the damage a powerful insurance company can do to someone it takes premiums from and calls a “customer.” If you have been denied coverage because of contested medical care, contact Gisonni Law Firm for a consultation.