Mansell, Engel & Cole
  • Home
  • About
    • Steven S. Mansell
    • Mark A. Engel
    • Kenneth G. Cole
    • Keith F. Givens
    • Adam Engel
    • Zachary K. Housel
  • Practice Areas
    • Denied Claims & Disputes
    • Types Of Insurance
  • Case Results
  • Blog
  • Contact
Select Page

Insurer denies recommended treatment for child cancer victim

On behalf of Mansell, Engel & Cole | Nov 4, 2017 | Denied Insurance Claims

Reasonable people in Oklahoma and across the country likely wonder fairly routinely just how some insurance companies survive ill-advised actions and comments directed toward policyholders.

Sometimes it is a coverage denial that can seem so grounded in bad faith or illogic that it incenses most individuals who hear about it. On other occasions, an insurer’s sheer insensitivity it what most rankles.

And sometimes it is both those things.

Take a recent news story involving New York insurer HIP, for example. Its details are both notable and sadly troubling.

A letter sent by HIP addressed the clinical trial an insured party was participating in as a latter-stage aggressive protocol to treat progressively spreading cancer.

The insured is the nine-month-old son of a retired police officer being treated at a St. Jude Children’s Research Hospital. St. Jude’s is known globally for its cutting-edge therapies and efforts to consistently improve care for child cancer victims. Its staff deemed the clinical trial and select balancing of medications that doctors prescribed as vitally important for the infant.

HIP expressed a contrasting view in a letter it addressed directly to the child rather than his parents. In an official and even sterile-sounding communication, it concluded that the trial and combination of medicines constituted unnecessary treatment lacking evidence “to confirm its effectiveness.” It denied the claim.

Even though St. Jude’s provides care free of charge, the father is still concerned that the denial unfairly challenges a world-renowned facility that is a leader in fighting children’s cancer.

We implicitly note such cases on our website at Mansell, Engel & Cole, stating therein that it is common for an insurer’s claim denial to be based on “a biased position without full knowledge of [a patient’s] condition.”

We fight back against that response on behalf of policyholders who receive sound and well-reasoned information from doctors that is refuted from a distance by an insurer’s in-house stuff.

We welcome contacts to our firm and the opportunity to discuss the work we do to promote the interests of insured parties confronting unreasonable challenge from insurance companies.

  • Facebook
  • Twitter
  • LinkedIn

Recent Posts

  • Fighting a denied earthquake insurance claim
  • Overview of Oklahoma’s bad faith laws
  • Common reasons why health insurance denies claims
  • When a life insurance company denies a claim
  • The importance of additional documentation after a denied claim

Archives

  • January 2021
  • December 2020
  • November 2020
  • October 2020
  • September 2020
  • August 2020
  • July 2020
  • June 2020
  • May 2020
  • April 2020
  • March 2020
  • February 2020
  • January 2020
  • December 2019
  • November 2019
  • October 2019
  • September 2019
  • August 2019
  • July 2019
  • June 2019
  • May 2019
  • April 2019
  • March 2019
  • February 2019
  • January 2019
  • December 2018
  • November 2018
  • October 2018
  • September 2018
  • August 2018
  • July 2018
  • June 2018
  • May 2018
  • April 2018
  • March 2018
  • February 2018
  • January 2018
  • December 2017
  • November 2017
  • October 2017
  • September 2017
  • August 2017
  • July 2017
  • June 2017
  • May 2017
  • April 2017
  • March 2017
  • February 2017
  • January 2017
  • December 2016
  • November 2016
  • October 2016
  • September 2016

Categories

  • Blog
  • Denied Insurance Claims
  • Firm News
  • Insurance
  • Insurance Disputes

RSS Feed

Subscribe To This Blog’s Feed

Start Your
Free Insurance
Claim Review

Mansell, Engel & Cole The Insurance Attorneys

Office Address

204 N. Robinson Ave.
21st Floor
Oklahoma City, OK 73102

Map & Directions

Get In Touch

Phone: 405-212-5921
Fax: 405-232-4140

  • Follow
  • Follow
  • Follow
IBFTLA - Insurance Bad Faith Trial Lawyers Association
Member of The National Trial Lawyers - Top 100 Trial Lawyers
AV Preeminent Rated Lawyers
Review Us

© 2021 Mansell, Engel & Cole. All Rights Reserved.

Disclaimer | Site Map | Privacy Policy | Business Development Solutions by FindLaw, part of Thomson Reuters