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I was hurt in an accident and received a health care denial on coverage because it was considered alternative treatment?
I received a healthcare denial on coverage from my insurance company. I was hurt in an accident and got soft tissue damage and I want to get acupuncture. Can they deny my claim? They said I couldn’t get the care because it was considered alternative treatment?
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Answers (1)
The legitimacy of your insurers denial of coverage depends on a number of factors. First, you’ll need to determine whether the terms of your policy cover the type of care you are seeking. The legitimacy of your insurers denial of coverage depends on a number of factors. First, you’ll need to determine whether the terms of your policy cover the type of care you are seeking. providing appropriate documentation from a qualified doctor. If you choose to appeal your denial, in many cases, your claim will also be reviewed by a health care professional specified under state regulations. You should consult with an experienced accident attorney and/or attorney with experience in health care claims denials in order to determine your best course of action and to help you evaluate whether the claim denial was proper under state law and under the terms of your policy.
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Posted by Christy Rakoczy on 21 Jan 2010
1 person found this useful
(6 Votes)