December 19, 2016
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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.

Pandemic Continues to Affect Women, Even the Really Successful Ones

November 10, 2020
Gender Discrimination
This reduction in childcare due to COVID is affecting mothers of all income brackets, and as NPR reports, the most successful women, even, are feeling the effects. Mothers remain the parent more likely to shore the care gap created by school closures and are more likely to step back from their careers to do so.

Court Rejects Amazon Warehouse Workers’ Safety Complaints

November 5, 2020
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A Federal judge in New York has rejected a lawsuit from Amazon employees, ruling that OSHA, not courts, should determine what constitutes workplace safety and safe practices.

New Lawsuit against Uber Alleges Civil Rights Violations

November 3, 2020
Race Discrimination
Uber is no stranger to accusations of labor and consumer rights violations, including charges of monopoly behavior, racial bias in poor neighborhoods, wage violations and preventing workers from accessing social welfare during the pandemic. Now, adding to this list, is a new lawsuit filed by former driver Thomas Liu alleging Uber violated non-white drivers’ civil rights protected by Title VII of the 1964 Civil Rights Act.

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