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.

Women's Employment Still Reeling from Pandemic’s Effects

January 12, 2021
Gender Discrimination
According to the latest analysis by the Bureau of Labor Statistics, the pandemic and lockdowns continue to have an outsize effect on women’s employment in the U.S. with fewer than half (44.6%) of the jobs women lost between February and December returning. Another way of looking at it is that roughly 12 million jobs simply disappeared. Or, as Representative Katie Porter tweeted, “Women. Accounted. For. All. The. Losses.”

Paid Maternity Leave Finds an Unlikely Champion, But Is That Enough?

January 8, 2021
Pregnancy Discrimination
Paid Family Leave
On the heels of some important wins for paid leave in the 2020 election, paid maternity leave has found a new supporter. One who you might not have expected: conservative co-host of The View Megan McCain. The challenge is, as Monica Hesse notes, “how we can speed up this process so that it doesn’t require every leave-denier to personally birth a child before they also get on board.”

Doctor’s Video Underscores How Structural Racism Permeates the Medical Profession

December 29, 2020
Race Discrimination
One of the most devastating forms in which structural race discrimination appears is in the worlds of medicine and health care where people of color, especially Black people are provided with inferior forms of care, which are often deadly.

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.