December 19, 2016
No items found.

Using New York State Consumer Protections to Get Insurers to Pay Bills

The election has created change and uncertainty around national health care laws, making now a good time for New Yorkers to understand state-based laws that protect us as health care consumers. New York State law contains consumer protections that can help individuals have care paid for by their insurer, avoiding large unreimbursed bills incurred by providers. Demystifying these legal rights can save insureds — and their advocates — time, money, and frustration, allowing them to focus on their health, instead of the cost of health care.

New Yorkers who get their private health insurance from a plan that is covered by New York law, whether that plan comes from an employer or the Marketplace, have four crucial consumer protections:

  • Transitional care laws allow individuals to continue receiving insurance coverage for seeing their doctor, even if that doctor is no longer covered by their insurance;
  • Appealing denials of care and payment from insurance companies;
  • Network adequacy protections requiring insurers to have enough providers of different types for their enrollees to access;
  • Surprise Bill law protecting consumers from paying certain out-of-network bills.

Our associate, Alex Berke’s recently published article in the New York State Bar Association Health Law Journal, “Using Health Insurance Consumer Protections To Increase Reimbursements For Providers and Decrease Out-of-Pocket Costs For Consumers,” examines these laws in depth, including how using them wisely can get a bill paid.

Changes are undoubtedly coming for the health insurance market, but not all relevant laws are Federal, and as New Yorkers, we should use the consumer protections we have to get the best value for our health insurance dollars.

Wage Gaps and Cutthroat Culture Highlight Gender Disparity, ABA Report Finds

May 13, 2021
Gender Discrimination
In a new report undertaken by the American Bar Association, several key aspects of the legal profession are causing women attorneys to consider leaving the field. Among the most significant factors are the persistent pay gap based on gender and the hyper-individualistic, competitive nature of the industry, which often pits lawyers against one another, degrading any sense of community workplace culture.

Childcare and Paid Leave Funding Part of $1.8tn “American Families Plan” 

April 29, 2021
Paid Family Leave
In a speech to a joint session of Congress, President Biden unveiled the “The American Families Plan,” the third part of the president’s push to power a post-pandemic recovery. Along with the $1.9 trillion fiscal stimulus and a proposal for an infrastructure plan that would earmark $2.3 trillion to upgrade roads, bridges, railroads, and the country’s aging power grid, the American Families Plan seeks to fund a wide range of initiatives to address deep-lying problems on the job market that the pandemic exposed, and hopefully help the more than 2 million women who left the workforce in 2020 to return.

CLE Webinar Discusses the Vaccination Pros and Cons for Workplaces

April 16, 2021
No items found.
A recent Association of Corporate Counsel CLE webinar provided an important look at what employers should be thinking about as vaccination efforts here in the US speed up.

Get In Touch

Knowing where to turn in legal matters can make a big difference. Contact our employment lawyers to determine if we can help you.