Rochester, NY asked in Insurance Bad Faith for New York

Q: My wife's health insurance was cancelled because she missed three payments. She has pancreatic cancer.

My wife's condition is dire. She is in near constant pain and takes a lot of morphine. Novavirus restrictions have added to the anxiety. The insurance company has to make an exception in her case. Can you help?

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2 Lawyer Answers
Michael David Siegel
Michael David Siegel
Answered
  • New York, NY
  • Licensed in New York

A: If you qualify for Medicaid, you can apply for that. You can also sign up for Obamacare exchange coverage at New York State of Health. But you are going to have to pay.

Tim Akpinar agrees with this answer

Tim Akpinar
Tim Akpinar
Answered
  • Insurance Claims Lawyer
  • Little Neck, NY
  • Licensed in New York

A: I'm sorry for your wife's condition. In addition to exploring the Medicaid route, it could be worth looking into whether the carrier would reconsider the cancellation. The outcome of such an appeal or reconsideration could very well be no again, upholding their original cancellation. But in light of the extraordinary circumstances brought on by the health crisis, it could be worth exploring whether the carrier would be sympathetic. Additionally look into whether hospital social workers could assist in identifying any other options. I hope your wife is able to find the medical care she needs. Good luck

Tim Akpinar

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