Health insurance is expensive.  But many of us sacrifice in order to purchase health insurance so that we can sleep better at night knowing that if we fall ill, we will be financially covered.  We make this responsible decision in order to protect ourselves but also to protect our family from the crippling effect of unpaid medical bills. 

But what happens when a health insurance company, or HMO, or Medicare Advantage Plan refuses to cover a claim?   

In the U.S., the catastrophic effect of unpaid medical and hospital bills is the number one reason individuals file for bankruptcy.

Regrettably, it is not uncommon for insurance companies to deny claims for medical treatment.

Claims for medical treatment are routinely denied on the basis that:

  • the condition requiring treatment is a pre-existing condition
  • the treatment sought is experimental in nature
  • the treatment sought is medically unnecessary  

Of course, there are other reasons that a claim may be denied.

However, just because an insurance company denies your claim does not mean that the insurance company is right.

An insured should fully exhaust any appeals process when facing a denial. 

In you are facing an insurance claim denial, please consult with an experienced health insurance claims lawyer.  

We represent individuals who have non-ERISA health insurance claims, including HMO's, who are facing an improper denial of their claim.  If an insured suffers from improperly being denied medical care as aresult of managed care abuse we may be able to help.

You can reach Insurance Claims Lawyer J.P. Gonzalez-Sirgo by dialing his direct number at (786) 272-5841, calling the main office at (305) 461-1095, or Toll Free at 1 (866) 71-CLAIM or email Attorney Gonzalez-Sirgo directly at [email protected].

J.P. Gonzalez-Sirgo
J.P. Gonzalez-Sirgo, P.A.