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Health Benefits

Healthcare is a multibillion-dollar industry in the United States, with the vast majority of the industry’s revenue coming from patient care. As a result, there countless rules and regulations that specify how health insurance is administered and how other health benefits are managed. Unfortunately, insurance companies and claims administrators are known to underpay and deny benefits that patients are entitled to, placing an exorbitant financial burden on patients and their families throughout the country. 

Green Health Law was established to advocate for the rights of patients and plan participants who have been mistreated by health plans, insurance companies, and claims administrators. We understand the unique considerations of patients and plan participants and work to uphold their rights both in and out of court. With over two decades of experience, our attorneys have the in-depth knowledge necessary to ensure that you receive the benefits you need. To learn more about how we can help, consider contacting us today.

Health Benefits and the Role of Healthcare Lawyers

Health law comprises the regulations, laws, and standards that govern the healthcare industry. As healthcare laws evolve to address new and existing challenges in the industry, the legal landscape surrounding health benefits and insurance claims becomes more and more complex. Without healthcare lawyers working to defend the rights of patients and plan participants to obtain benefits, access to quality health services may be limited or entirely inaccessible to patients. While some attorneys represent insurance companies, health plans, and/or claims administrators, other attorneys are concerned with ensuring that patients receive health benefits necessary to provide quality healthcare. At Green Health Law, we represent patients and plan participants, not big businesses and not insurance companies. 

What Is ERISA?

While health law is composed of many different statutes and regulations, the Employee Retirement Income Security Act of 1974 (ERISA) is one of the most prevalent health laws covering over 150 million workers, retirees, and dependents for various types of employee benefits and specifically covering approximately 139 million health plan participants and beneficiaries. ERISA is a federal law that establishes standards for the benefit plans that are offered by employers, benefit plan managers, trustees, and other providers. This law covers employer-sponsored medical, disability, life, pension, and other benefit plans, offering key protections to employees against fiduciary wrongdoing. For instance, under ERISA, a plan participant may pursue legal action against plan fiduciaries if benefit plans are not managed correctly or if fiduciaries engage in any conduct that is not authorized under the law. 

The Employee Benefits Security Administration is responsible for enforcing ERISA and oversees the nearly 4 million benefits plans issued under the Act. Hundreds of investigations into wrongdoing are conducted every year, indicating the full scope of the legal issues that patients and plan participants face.   

Extensive legal expertise and knowledge is required to successfully navigate this complex federal statutory system. At Green Health Law, we believe that no one should give up the benefits they rightfully deserve. Insurance companies are incentivized to prioritize their bottom line over your healthcare needs, which can leave you feeling exploited and unsure of where to turn for guidance. Fortunately, we understand how to secure the benefits you are entitled to. 

How Do We Help?

Our healthcare law practice is centered around helping patients who were wrongfully denied health benefits. The importance of our work is highlighted by the complex nature of insurance claims and the multitude of rules and regulations set forth under ERISA in relation to claims and appeals

We leverage our decades of experience to guide our clients through all stages of the process, including the initial claim procedure, the mandatory appeal process, and even in litigation. As the law firm of choice among patients across the country, we understand how to handle even the most complicated health law issues, including: 

  • Navigating all aspects of the ERISA claims and appeal process. 
  • Submitting appeals for wrongfully denied health claims.
  • Ensuring plan compliance with health law and other key regulations.
  • Litigating, mediating, and resolving disputes related to coverage, overpayment demands, denials, for a variety of medical and mental health diagnoses

Health plans and insurance companies have lawyers on their side who will use the law to defend the denial of your claim. Knowing this, we established Green Health Law to protect the rights of patients and plan participants who find themselves caught in the system. We understand the healthcare industry and the regulatory bodies that govern it, and we work tirelessly to push back against unfair treatment.

The Green Health Law Difference

At Green Health Law, we pride ourselves on core values and our dedication to achieving results for our clients. When you work with us, you can expect clear communication, compassion, respect, passionate advocate, and professionalism at every step of the process. Our attorneys have spent their career fighting for patient and plan participants’ rights, and we understand the strategies that claims administrators and insurance companies use to withhold and manipulate benefits. This knowledge is what sets us apart and allows us to employ creative legal strategies to advocate for our clients. 

We will keep you informed and up to date on all developments in your case and will provide step-by-step guidance to ensure that you feel confident in your legal representation. We have devoted our careers to helping patients and plan participants, and that commitment is evident in every part of our work. While insurance companies are busy prioritizing their business and bottom line, we are focused solely on obtaining benefits for your healthcare needs. 

Speak With Our Team Today

Health law cases have special rules and regulations that make these legal issues different from ordinary insurance disputes. Insurance companies are interested in making a profit and are known to use the complexity of health law against patients and plan participants to excuse unfair denials. For this reason, many people seek legal assistance to help navigate their case and successfully obtain benefits as quickly and efficiently as possible. 

The depth of our experience and the breadth of our knowledge enables our team to handle even the toughest cases for our clients. If you are struggling with a legal issue related to health benefits or coverage, Green Health Law is ready to advocate for you and protect your interests. To speak with an experienced attorney about your case, consider connecting with us today.