Denial of Medical Benefits; Experimental Treatment; Health Insurance; Bad Faith Penalties
The Firm represented a cancer-victim's husband who was referred to the Firm by a Judge. His wife had been diagnosed with cervical cancer and her oncologist had recommended a very expensive transplant operation. However, the family's health insurance company refused to pay for the transplant on the grounds that the treatment was "experimental". The Firm sued the insurer, hired medical experts to prove that the treatment was new but not experimental, and recovered the full cost of the transplant operation, plus accrued interest on the Client's medical expenses, plus all attorneys' fees, plus statutory bad faith damages against the Client's health insurance company.