Reportedly, some insurance companies selling supplemental insurance policies, including cancer policies, have adopted a new practice which has lead to the improper and unfair payment of claims under these policies. For years, insurance companies paid policy benefits based on the amount the doctor or hospital billed the patient, before any discounts the healthcare provider, doctor, or hospital may have negotiated separately with the patient’s private health insurer or Medicare. However, some insurance companies are now paying benefits based on this discounted amount, rather than the full value of the covered service. As a result of this alleged cancer policy fraud, policyholders who have noticed a reduction in the amount of benefits paid under their supplemental insurance policy may have legal recourse.
Have you noticed a reduction in the amount paid to you for services covered by a supplemental insurance policy, such as a cancer policy? Find out if you can participate in a cancer policy lawsuit to recover financial compensation by completing our no cost, no obligation case review form.
Supplemental insurance policies, including cancer policies, are intended to supplement a consumer's primary health insurance policy. They pay the patient directly for certain items and are not intended to pay the doctor or hospital. These supplemental insurance policies may pay a certain amount for medical tests or procedures or a daily hospital indemnity which provides a set amount to the insured for each day the patient is hospitalized. These policies, as well as other types of insurance policies, were designed to help the consumer pay other bills which might result from sickness or hospitalization. Sometimes these polices will also provide benefits for medical diagnostic, outpatient expenses, or chemotherapy or radiation treatments.
Due to allegations that some insurance companies are engaging in the unfair payments of claims under supplemental health insurance policies, our attorneys are offering a free case review to all consumers who suspect they have received improper payment for claims submitted under these policies. All of the policies being investigated by our attorneys provide for payment to the insured of the "usual, customary, and reasonable charges" or the "actual charges" for the covered service. If you have received reduced benefits when submitting a claim under a supplemental insurance policy, such as a cancer policy, do not hesitate to contact us by completing the form on the right to find out if you can participate in a cancer policy lawsuit seeking financial compensation.