Frankel & Newfield, P.C.

We Have Recovered Over $100 Million In Claims For Our Clients

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March 2018 Archives

The importance of disability insurance for physicians

Here at Frankel & Newfield, PC, we represent doctors across the country when their disability insurers deny their claims or prematurely terminate their disability payments. The practice of medicine is both physically and mentally demanding, with long hours, stressful situations, life-and-death decision making and potential exposure to radiation and chemicals. For these reasons, unexpected disability and an interruption of salary is not unexpected. 

Unfairness inherent in disability-insurer use of doctor rosters

When someone buys disability insurance or joins a group disability policy at work, he or she deserves to be financially protected should injury or illness interrupt the ability to work and earn a living. Accordingly, when it becomes necessary to file a claim under his or her disability insurance policy for benefits, it should be enough proof for the insurer look at the claimant’s medical records from treating physicians as well as other objective medical evidence like lab tests, X-rays or other kinds of scans, depending on the condition. 

Part 2: More about disability-insurer claimant surveillance

Today we continue our discussion of insurance company use of physical and online surveillance of disability-insurance claimants in an effort to find evidence that might discredit claims of injury and illness. If a picture, video or social media post suggests that a claimant can do something in his or her personal life that is inconsistent with his or her impairments, the insurer may use it as a basis to deny a claim, sometimes even when the person's treating doctors and objective medical evidence say otherwise.

Part 1: Questionable disability-insurer surveillance of claimants

We recently told you the story of a Canadian writer whose disability insurance provider reportedly denied his claim for benefits based on depression. In that post, we described a Toronto Star article about an allegation that the insurer in that case had used as evidence pictures posted on social media that showed the claimant looking happy. We have had a client had this happen to them in the past on a claim for depression, where the claimant was seen "smiling" on surveillance.

Senators Target Aetna's Review of Health Insurance Claims

Frankel & Newfield have battled Aetna and other disability insurance companies when claims have been denied with no apparent regard for the support provided in the claimants' medical records for years. Now it seems that two Senators, Ron Wyden, (Oregon-D) Ranking Member Senate Committee on Finance and Patty Murray (Washington-D) Ranking Member, Senate Committee on Health, Education, Labor and Pensions, are taking up the issue.

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