Is The Insurance Company That is Refusing To Cover a Toddler's Necessary Heart Surgery in Breach of Contract? - a podcast by Jill Rosensweig

Today, Ms. Rosensweig will be talking about the family of a three-year-old boy who was born with a rare congenital heart defect, leaving the left side of his heart critically underdeveloped.  The boy was set to have a potentially life saving procedure in Boston and just days before the surgery was scheduled, the family learned that their insurance provider was denying coverage of the procedure.  Despite their doctor explaining that no in-network provider can perform this much-needed procedure, the insurance company denied coverage, asserting that there are good providers that are in-network.  This episode touches upon this all-too-common problem and Ms. Rosensweig explains, from a legal perspective, why the insurance companies are in breach of contract when they deny reasonable claims for coverage.  The hope with this episode is for those of you going through something similar to understand your rights so that you can fight for the coverage you deserve. 

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