Have You Or A Family Member Been Denied Health Insurance Benefits For Mental Health Treatment Or Substance Use Disorder?
LET US APPEAL YOUR DENIAL
AND FIGHT FOR YOUR REIMBURSEMENT
REQUEST YOUR FREE CONSULTATION FROM ONE OF OUR ATTORNEYS NOW
Mental Health a Serious Issue
Mental illness is referred to as the “Silent Epidemic”. According to the National Institute of Health, one out of five Americans suffer from some form of a mental health issue; a staggering 57.8 million Americans in 2021. Any Mental Illness (AMI) is defined as a mental, behavioural, or emotional disorder. These disorders vary in complexity and severity, but the common denominator is that the illness will always affect the sufferer’s ability to engage in routine life activities. The affects of this illness are aggravated by the fact that, although there has been development, society still does not recognize mental illness to the same degree that it recognizes physical illness.
Why Choose Us?
No Upfront Fees
Our attorneys only charge you if we are successful with your appeal.
Confidential & Trusted
As a confidential and trusted attorney, our firm understands the importance of maintaining client confidentiality and building trust with our clients.
Experience
Our attorneys have experience in handling insurance denials.
Why Insurance Companies May Deny Coverage
Mental illness is referred to as the “Silent Epidemic”. According to the National Institute of Health, one out of five Americans suffer from some form of a mental health issue; a staggering 57.8 million Americans in 2021. Any Mental Illness (AMI) is defined as a mental, behavioural, or emotional disorder. These disorders vary in complexity and severity, but the common denominator is that the illness will always affect the sufferer’s ability to engage in routine life activities. The affects of this illness are aggravated by the fact that, although there has been development, society still does not recognize mental illness to the same degree that it recognizes physical illness.
Consequences of Denied Coverage
As a result of the current model, millions of Americans are either not receiving the treatment that they need, or are receiving it at their own expense, which forces them to incur a financial burden that should be the responsibility of their insurance company. According to the NIH, approximately one half of all Americans that suffer from mental health issues are not receiving any treatment. This is partly the result of the wave of denials issued by insurance companies for treatment that should be covered.
Let Our Expert Attorneys Appeal Your Denial!
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At Wellness Law Group, our attorneys view your insurer’s denial as the beginning of the process, not the end.
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The disturbing truth is that insurance companies know that the great majority of denials they issue will go unchallenged.
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They are therefore reluctant to extend coverage for mental health care, which, unlike a physical health diagnosis, can be subjectively “challenged” by their inhouse “expert”.
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After you receive a free consultation with our firm, your attorney will request all relevant documentation to carefully examine whether your health plan covers treatment for mental health care, and to what extent.
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This will include review of your plan itself, your Summary of Benefits and Coverage (SBC), your Certificate of Coverage (COC), your Explanation of Benefits (EOB), and all other documentation related to your coverage.
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After ascertaining your benefit rights, we will carefully review your insurer’s denial, and make sure that our appeal effectively addresses all issues raised by the insurer.