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Law Offices of Scott Glovsky

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OUR OFFICES:
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    • 343 Harvard Avenue
      Claremont, CA 91711Get Directions
    • Call: (909) 296-7700
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      Pasadena, CA 91101
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    • Call: (626) 243-5598

(626) 243-5598

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  • Home
  • About
    • About Our Firm
    • Attorneys
    • How Our Firm Has Changed Lives
    • How We Operate
  • Practice Areas
        • Health Insurance Denials
          • Insurance Bad Faith
          • Health Insurance Claim Denials
          • Medical Necessity Denials
          • Experimental/Investigational Denials
          • Out-of-Network Denials
          • Insurance Policy Rescission
          • Health Insurance Denials Public Employees
          • Medicare Advantage Health Insurance Denial
          • We Fight All Health Insurance Companies, Including:
            • Aetna Denial
            • Anthem Blue Cross Denial
            • Blue Shield of California Denial
            • Cigna Denial
            • Health Net Denial
            • Kaiser Permanente Denial
            • OSCAR Health Plan Denial
            • Magellan Healthcare Denial
            • Molina Healthcare Denial
            • Regal Medical Group Denial
            • UnitedHealthcare Denial
        • Medications
          • Prescription Denial
          • Gene Therapy
          • Cancer Treatment
            • Proton Radiation Therapy
          • New Cancer Drugs
          • Expensive Drugs
          • Biologic Drugs
          • Cosentyx
          • Dupixent
          • Enbrel
          • Entyvio
          • Euflexxa
          • Harvoni
          • Humira
          • Intravenous Immunoglobulin (IVIG)
          • Ketamine
          • Leqembi™
          • Monovisc
          • Mounjaro
          • Orthovisc
          • Ozempic
          • POLIVY
          • Radicava
          • Remicade
          • Synvisc
          • Spinraza
          • SpaceOAR Hydrogel
          • Stelara
          • Wegovy
          • Xeljanz
          • Xifaxan
          • Zolgensma
        • Injuries & Surgeries
          • Spinal Cord Injury
          • Brain Injury
          • Surgery
          • Back Surgery
          • Ablation Surgery
          • Prosthetic Limb
          • Respite Care
          • Pain Treatment
          • Partial Hospitalization
          • Magnetic Resonance Imaging (MRI)
          • Radiofrequency Ablation (RFA)
        • Health Conditions
          • ALS
          • Alzheimer’s Disease and Dementia
          • Autism
          • Autoimmune Disorders
            • Ankylosing Spondylitis
            • Crohn's Disease
            • Fibromyalgia
            • Multiple Sclerosis
            • Lupus
          • Blood Disorder
          • Cancer
          • Cerebral Palsy
          • COVID-19
          • Counseling
          • Diabetes
          • Eating Disorder
          • Genetic Testing
          • Genomic Testing
          • Heart Condition
          • Hydrocephalus
          • Intensive Outpatient Program
          • Mental Health
          • Migraine
          • Obesity
          • Osteoarthritis
          • Parkinson's Disease
          • Postural Orthostatic Tachycardia Syndrome
          • Residential Treatment Center (RTC)
          • Rheumatoid Arthritis
          • Skin Treatment
          • Spinal Muscular Atrophy
          • Substance Use Disorders & Addiction
          • Ulcerative Colitis
        • Personal Injury
          • Accidents
            • Bicycle Accidents
            • Car Accidents
            • Motorcycle Accidents
            • Truck Accidents
          • Traumatic Brain Injury
          • Catastrophic Injury
          • Burn Injury
          • Wrongful Death
          • Premise Liability
          • Slip & Fall
          • Product Liability
          • Nursing Home Abuse
          • Elder Abuse
        • Sexual Abuse
          • Types of Sexual Abuse
          • Child Sexual Abuse
          • Campus Abuse
          • Special Needs Abuse
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          • Abuse at Camp
          • Abuse by a Clergy Member
          • Abuse by Athletic Coaches
        • Business Issues
          • Employment & Business Issues
          • Broker & Agent Negligence
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Los Angeles Aetna Health Insurance Medical Necessity Denial Lawyer

Home » Los Angeles Bad Faith Insurance Lawyer » Los Angeles Health Insurance Denial Lawyer » Los Angeles Medical Necessity Denials Lawyer » Los Angeles Aetna Health Insurance Medical Necessity Denial Lawyer

Millions of hardworking men and women in California trust Aetna to handle their health insurance needs. Unfortunately, Aetna has denied coverage to many policyholders for medically necessary treatments and prescription drugs.

If your Aetna health insurance claim for a medically necessary treatment or drug was denied, an adept attorney could help you obtain financial compensation for your ordeal and any healthcare costs you may have incurred. Speak with a Los Angeles Aetna health insurance medical necessity denial lawyer if you believe your claim for a critical treatment or drug was unfairly rejected.

Page Contents:

  • Why Does Aetna Deny Claims?
  • Prescription Drug Coverage
  • What Happens if an Appeal is Denied?
  • How a Los Angeles Aetna Health Insurance Medical Necessity Denial Attorney Could Help

Why Does Aetna Deny Claims?

Medical procedures such as surgeries can cost thousands of dollars. More expensive surgeries—particularly those that treat the brain, heart, and spinal cord—can cost hundreds of thousands of dollars.

To protect themselves from such astronomical costs, the vast majority of Americans enroll in health insurance plans. The type of coverage a policyholder receives depends on the plan they enroll in, but in general, most people expect their insurer to cover the treatments they agreed to cover.

Unfortunately, this does not always happen, and insurance companies do have a right to deny coverage of medically necessary treatments for life-threatening illnesses and conditions. Sometimes insurers deny coverage if their own team of doctors view a treatment as useless, but often claims are denied simply in an attempt to increase revenue and lower operational costs.

Prescription Drug Coverage

Prescription drugs can be significantly expensive, even with health insurance coverage. Some such drugs can be purchased at relatively low prices, but others can cost tens of thousands of dollars each year. Unfortunately, more expensive drugs tend to have the most important functions, and many people depend on them to live a life that is free of pain and suffering.

Insurance companies are notorious for denying coverage for medical treatments and procedures, but they may also refuse to cover prescription drugs. Even if a prescription drug is deemed a “medical necessity” by a healthcare professional, insurance companies do have a right to deny coverage if they feel a cheaper, equally effective drug can perform the same function.

This is not in the best interest of the policyholder, and if an insurer refuses to cover a drug they are contractually obligated to cover, there may be a way to hold them accountable legally. A health insurance medical necessity denial lawyer in Los Angeles could help Aetna policyholders determine their legal options after a claim denial.

What Happens if an Appeal is Denied?

Most insurance companies in the United States, including Aetna, allow policyholders to file an appeal if they do not agree with a claims decision. The appeals process can be arduous, and insurers often arrive at the same decision a second time even if the policyholder submits additional information.

This can be incredibly frustrating for policyholders, and many choose to simply give up after their initial claim and appeals are denied without a rational explanation. Fortunately for policyholders, a Los Angeles Aetna health insurance medical necessity denial lawyer may be able to help individuals who have had their claims denied for frivolous or trivial reasons continue to seek compensation via alternate means.

How a Los Angeles Aetna Health Insurance Medical Necessity Denial Attorney Could Help

If your medical necessity claim was denied by Aetna, you have every right to feel angry and confused. Insurance companies can be hard to understand, and when they deny coverage for a treatment or drug you need, the prospect of fighting back may seem absurd.

However, by working with an experienced attorney, you may be able to reverse the decision of the insurer. Call a Los Angeles Aetna health insurance medical necessity denial lawyer today to see what may be possible in your case.

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The Law Offices of Scott Glovsky is a Professional Corporation. Information on this website is not intended as and is not legal advice. The information does not establish an attorney-client relationship. Case results are not a prediction or guarantee of potential case outcomes. This website is an attorney advertisement.

  • Home
  • About
    ▼
    • About Our Firm
    • Attorneys
    • How Our Firm Has Changed Lives
    • How We Operate
  • Practice Areas
    ▼
    • Health Insurance Denials
      ▼
      • Insurance Bad Faith
      • Health Insurance Claim Denials
      • Medical Necessity Denials
      • Experimental/Investigational Denials
      • Out-of-Network Denials
      • Insurance Policy Rescission
      • Health Insurance Denials Public Employees
      • Medicare Advantage Health Insurance Denial
      • We Fight All Health Insurance Companies, Including:
        ▼
        • Aetna Denial
        • Anthem Blue Cross Denial
        • Blue Shield of California Denial
        • Cigna Denial
        • Health Net Denial
        • Kaiser Permanente Denial
        • OSCAR Health Plan Denial
        • Magellan Healthcare Denial
        • Molina Healthcare Denial
        • Regal Medical Group Denial
        • UnitedHealthcare Denial
    • Medications
      ▼
      • Prescription Denial
      • Gene Therapy
      • Cancer Treatment
        ▼
        • Proton Radiation Therapy
      • New Cancer Drugs
      • Expensive Drugs
      • Biologic Drugs
      • Cosentyx
      • Dupixent
      • Enbrel
      • Entyvio
      • Euflexxa
      • Harvoni
      • Humira
      • Intravenous Immunoglobulin (IVIG)
      • Ketamine
      • Leqembi™
      • Monovisc
      • Mounjaro
      • Orthovisc
      • Ozempic
      • POLIVY
      • Radicava
      • Remicade
      • Synvisc
      • Spinraza
      • SpaceOAR Hydrogel
      • Stelara
      • Wegovy
      • Xeljanz
      • Xifaxan
      • Zolgensma
    • Injuries & Surgeries
      ▼
      • Spinal Cord Injury
      • Brain Injury
      • Surgery
      • Back Surgery
      • Ablation Surgery
      • Prosthetic Limb
      • Respite Care
      • Pain Treatment
      • Partial Hospitalization
      • Magnetic Resonance Imaging (MRI)
      • Radiofrequency Ablation (RFA)
    • Health Conditions
      ▼
      • ALS
      • Alzheimer’s Disease and Dementia
      • Autism
      • Autoimmune Disorders
        ▼
        • Ankylosing Spondylitis
        • Crohn’s Disease
        • Fibromyalgia
        • Multiple Sclerosis
        • Lupus
      • Blood Disorder
      • Cancer
      • Cerebral Palsy
      • COVID-19
      • Counseling
      • Diabetes
      • Eating Disorder
      • Genetic Testing
      • Genomic Testing
      • Heart Condition
      • Hydrocephalus
      • Intensive Outpatient Program
      • Mental Health
      • Migraine
      • Obesity
      • Osteoarthritis
      • Parkinson’s Disease
      • Postural Orthostatic Tachycardia Syndrome
      • Residential Treatment Center (RTC)
      • Rheumatoid Arthritis
      • Skin Treatment
      • Spinal Muscular Atrophy
      • Substance Use Disorders & Addiction
      • Ulcerative Colitis
    • Personal Injury
      ▼
      • Accidents
        ▼
        • Bicycle Accidents
        • Car Accidents
        • Motorcycle Accidents
        • Truck Accidents
      • Traumatic Brain Injury
      • Catastrophic Injury
      • Burn Injury
      • Wrongful Death
      • Premise Liability
      • Slip & Fall
      • Product Liability
      • Nursing Home Abuse
      • Elder Abuse
    • Sexual Abuse
      ▼
      • Types of Sexual Abuse
      • Child Sexual Abuse
      • Campus Abuse
      • Special Needs Abuse
      • Abuse at School
      • Abuse at Camp
      • Abuse by a Clergy Member
      • Abuse by Athletic Coaches
    • Business Issues
      ▼
      • Employment & Business Issues
      • Broker & Agent Negligence
      • Business Contingency Litigation
      • Unfair Business Practices
      • Workplace Harassment
      • Wrongful Termination
      • Whistleblower
        ▼
        • Qui-Tam
  • Results
    ▼
    • Testimonials
    • Case Results
  • In The Media
  • Resources
    ▼
    • Frequently Asked Questions
    • Trial Lawyer Talk Podcast
    • Fight Health Insurance Denials Book
    • Download Our eBook
    • Helpful Resources
    • Blog
    • Guides
    • Sign Up for Our Mailing List
    • Power of Resilience Scholarship
  • Contact