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Law Offices of Scott Glovsky

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OUR OFFICES:
  • Claremont
    • 343 Harvard Avenue
      Claremont, CA 91711Get Directions
    • Call: (909) 296-7700
  • Pasadena
    • 299 N. Euclid Ave.
      Second Floor
      Pasadena, CA 91101
      Get Directions
    • Call: (626) 243-5598

(626) 243-5598

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Los Angeles Mental Health Claims Denial Lawyer

Many adults in America with a mental illness do not receive the medical treatment they need. Some of the major barriers to treatment are the cost of treatment and insurance denials. If your health insurance company recently denied a mental health claim, it is important that you know you have options. A Los Angeles mental health claims denial lawyer can help you get coverage for the treatment you need. A dedicated insurance denials lawyer understands the system and can use their knowledge to help you.

$3 Million Case Result Dealing with Eating Disorder & Mental Health Coverage

The Mental Health Parity Act

Mental health parity means the same coverage for mental health care as other types of health care. Under California and federal laws, including California Health & Safety Code § 1374.72, health insurance companies cannot legally limit mental health care more than they limit physical health care. This applies to both diagnosis and treatment as well as outpatient and inpatient hospital services and prescription drug coverage. For instance, an insurance carrier cannot place a cap on mental health visits per year if they do not place the same cap on physical health care visits.

Under California law, the following conditions must be treated under health insurance plans:

  • Schizophrenia
  • Bipolar Disorder (manic-depression)
  • Major depressive disorders
  • Obsessive Compulsive Disorders
  • Pervasive developmental disorders
  • Anorexia nervosa
  • Bulimia nervosa
  • Panic Disorders

When a health insurance carrier denies a claim for treatment of any one of these conditions, the policyholder has options. A Los Angeles mental health claims denial lawyer can work to get them the coverage they need.

Insurance Companies in Los Angeles Not Covered

The Mental Health Parity Act only applies to state-regulated health care service plans and insurance plans that are regulated by the state. Self-funded plans, such as those that are through large employers or unions are not included under this Act. Medicare, Veterans Administration Programs, or Medi-Cal are also not included.

However, Federal parity laws may apply to some plans or programs that are not mandated by California’s Mental Health Parity Act. A Los Angeles mental health claims denial attorney can help insured individuals determine whether their health insurance benefit plan falls under Federal or California Health Parity laws.

What to Do After a Mental Health Care Denial

Insured individuals do have options if their mental health claim is denied by their insurance carrier. They can file a formal complaint with their health insurance provider. Under federal laws, the health insurance company should have a formal way of reviewing and addressing these complaints.

Depending on the type of plan, they may be able to appeal the decision at least once, if not twice. However, whenever a claim is denied it is best to consult a Los Angeles mental health claims denial attorney who can review the policy and help determine the best path forward.

How a Los Angeles Mental Health Claims Denial Attorney Can Help

A Los Angeles mental health claims denial lawyer can work to help you get your mental health claim accepted and paid. A lawyer who is well-versed in federal and California insurance laws can use their knowledge to help you seek justice when it comes to mental health claims.

If your insurance company denied a mental health claim, contact our offices today. We can examine the circumstances surrounding your claim to determine the best course of action to take.

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“As a young lawyer, I am appreciative of great lawyers like yourself, who are willing to take the time to pass your knowledge and wisdom onto others.  I just finished your podcast with Greg Reeves.  I grew up with Greg’s niece, and his brother built my childhood home.  I had no idea how great of a lawyer he was until recently.  I started following him on Instagram after I graduated law school, and he is the reason I was led to your podcast a few months ago and to Gerry Spence’s book “Win Your Case”.

I hope to be able to attend the Ranch and effectively incorporate the techniques you discuss in one of the coming years. I hope you are able to keep the podcast going, and I look forward to each episode.

Thank you for sharing your gift with us.”

- J.F.B

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343 Harvard Avenue
Claremont, CA 91711
(626) 243-5598
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Copyright © 2020 Law Offices of Scott Glovsky
Disclaimer Privacy Policy

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
  • Health Insurance Denials
    ▼
    • Insurance Bad Faith
    • Health Insurance Claim Denials
    • Medical Necessity Denials
    • Experimental/Investigational Denials
    • Out-of-Network Denials
    • Aetna Denial
    • Anthem Blue Cross Denial
    • Blue Shield of California Denial
    • Health Net Denial
    • Kaiser Permanente Denial
    • UnitedHealthcare Denial
  • 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
    • Blog
    • Guides
    • Sign Up for Our Mailing List
    • Download Our eBook
    • Fight Health Insurance Denials Book
    • Power of Resilience Scholarship
  • Contact