Legal Question in Health Care Law in California
denial of coverage
I am a university student. As a condition of enrollment I was required to purchase medical insurance through the university since I did not have any other form of medical insurance. I purchased the insurance. A situation came up where I required emergency medical hospitalization. The insurance company denied me coverage stipulating that I did not seek proper prior authorization. They denied me total coverage and subsequently I am saddled with twenty thousand dollars in medical fees. Can I sue them to pay my bill to the hospital.
2 Answers from Attorneys
Re: denial of coverage
Yes, you might be able to. It is quite common for insurance companies to deny coverage initially to see if the client will pursue an action against them.
I would have to read your policy, but if you completed those tasks as directed then we can force them to pay and maybe even sue them for bad faith, which would put some money in your pocket.
Call me if you have any questions.
(888)454-5569
Re: denial of coverage
Yes. Call your lawyer or if you don't have one, call me (323)782-0099.
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