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Maryland Health Care Law Questions & Answers
0 Answers | Asked in Insurance Bad Faith, Elder Law and Health Care Law for Maryland on
Q: Can a pharmacist withhold refilling a script due it has not been pre-approved by health insurance. Offered to pay out o

Offered to pay out of pocket since I was out of it and need it to sleep?

1 Answer | Asked in Consumer Law, Civil Rights, Health Care Law and Legal Malpractice for Maryland on
Q: can a pharmacist withhold a refill medication due to CDS because it has not been pre-approved by health insurance.

Requested to pay out of pocket, long standing prescription

James L. Arrasmith
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answered on Dec 21, 2024

Yes, a pharmacist can withhold a refill if your insurance hasn’t pre-approved the medication. Insurance companies sometimes require prior authorization for certain prescriptions, even if you’ve been using them for a long time. This process ensures that the medication meets your insurance’s... View More

0 Answers | Asked in Education Law and Health Care Law for Maryland on
Q: I was dismissed from nursing school on false premises as a black student among white students, what should I do?

I was an RN student in a community college at Iowa state where I suffered racism in the classroom. I was dismissed based on racial discrimination. Whenever I ask or answer questions in the classroom, some white students would be rolling their eyes. At a point, some of them formed a clique and told... View More

1 Answer | Asked in Criminal Law, Civil Rights, Employment Discrimination and Health Care Law for Maryland on
Q: I got H pylori in prison in 2016 now i’m released and on short term disability

Diagnosed in prison 2016

Wasn’t taken seriously or treated until 2020

Released in 2023

Late Summer 2024 it’s back and the levels are higher and now I’m on short term disability and cannot work. Am I able to seek legal action due to this?

James L. Arrasmith
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answered on Aug 31, 2024

You may have grounds to seek legal action based on the delay in treatment and the recurrence of H. pylori, especially if it has led to significant health issues and financial loss. The first step would be to assess whether there was negligence in your medical care during your time in prison and... View More

2 Answers | Asked in Elder Law, Health Care Law, Medical Malpractice and Personal Injury for Maryland on
Q: If hospital and doctors fail to treat life threatening wounds, or address pain, is this elder neglect??

65 yr old man has open 8” wound at base of skull, due to Lyme disease w/ zero doctors and Johns Hopkins fail to address by not returning calls for follow up appt, life threatening worsening of this over several years and attempts to minimally address pain

John Michael Frick
John Michael Frick
answered on Jul 12, 2024

Typically, it is difficult to maintain an action for medical malpractice due to a patient's inability to schedule an appointment. In a true medical emergency, the patient should go to a local emergency room or call 911 for paramedics to assess and transport the patient to a hospital. It is... View More

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1 Answer | Asked in Environmental, Health Care Law and Small Claims for Maryland on
Q: Hi can you sue someone a free they knowingly let you in their house with flea infestation
Mark Oakley
Mark Oakley
answered on Jun 5, 2023

Unless they intentionally planned to cause you to be infested with fleas without your realizing it, for some malicious reason or purpose, and you can prove that, then no. Same goes for suing someone because you caught a cold or the flu from them when they knew they were sick but failed to warn... View More

1 Answer | Asked in Personal Injury and Health Care Law for Maryland on
Q: A nurses practitioner prescribed 20x recommended dose an anti psych to my wife and now her hallucinations are worse

A nurses practitioner in Maryland chose to take a crack at practicing psychiatry on my partner and prescribed them 300mg of Seroquil for over a year. Then moved them down to 150mg. The recommended dose is 15mg. Her Schizophrenia symptoms are now out of control. Can I sue this nurses practitioner... View More

Eric Todd Kirk
Eric Todd Kirk pro label Lawyers, want to be a Justia Connect Pro too? Learn more ›
answered on Nov 3, 2022

No, but your wife may be able to. She should contact an experienced malpractice attorney. Best of luck.

1 Answer | Asked in Divorce and Health Care Law for Maryland on
Q: My daughter is 18, still under my insurance. Her co-pay and uninsured procedures exceed $200. Who pays that extra bill?

I can't afford a lawyer but currently submitting on my own. I've texted my ex to no avail. I want to submit legal paperwork but unsure how to get started.

Thx

Mark Oakley
Mark Oakley
answered on Sep 21, 2022

Unless the date of service for the healthcare that resulted in the bill occurred before she turned 18 (or after she turned 18 but was still enrolled full-time in high school before completing her senior year), then the obligation to pay any deductibles and co-pays is hers alone, since she is now an... View More

1 Answer | Asked in Estate Planning, Health Care Law and Elder Law for Maryland on
Q: For medicaid payments for my dad, can my disability be used shelter his savings? Where can I find written info?

My dad's in his late 80's in NY. If he needs medicaid to pay his care, can my disability (I'm on SSDI), age 60 in MD) be used to pass his savings to me, so our family can keep it? Is it just an exemption for a house or for other assets too?

Where can I find the gov'ts... View More

Mark Oakley
Mark Oakley
answered on Aug 25, 2022

Your father would need to seek out an elder care lawyer to map out a strategy to protect his assets from counting towards Medicaid eligibility. Your disability is irrelevant and will not shelter his assets. He would need to get his assets out of his name five years before applying for Medicaid if... View More

1 Answer | Asked in Health Care Law for Maryland on
Q: A relative has a substance abuse problem in Maryland. The substance is prescribed by a doctor. Can I notify the doctor?
Mark Oakley
Mark Oakley
answered on Jul 19, 2022

Nothing prohibits you from expressing your concerns to your relative's doctor, but be prepared for the doctor to terminate your relative as a patient, and then your relative becoming very upset as well as desperate to obtain the prescription meds he/she was just cut off from, if that happens.

1 Answer | Asked in Health Care Law and Insurance Bad Faith for Maryland on
Q: I was denied a 2nd opinion for spine surgery thus delaying healing. My issue can lead to paralysis/death. Can you help?

This was Kaiser MidAtlantic, South Baltimore location’s Head surgeon and a contracted neurosurgeon who refused minimally invasive procedures and newer 93% success rate procedures with shorter recovery periods. They prefer the 50 year old procedure that has 70% success rate initially, but within... View More

Tim Akpinar
Tim Akpinar
answered on Jun 5, 2022

A Maryland attorney could advise best, but your question remains open for three weeks. I'm sorry for your ordeal. It's going to be difficult for any attorney to offer meaningful guidance on something of this complexity without seeing the file and the terms of the insurance coverage. If... View More

1 Answer | Asked in Health Care Law for Maryland on
Q: Outstanding dental balance question.

I recently received the bill from my dentist whose services I used until May, 2019.

The bill included services that were done from December 2017 to May 2019. Since the accuracy of billing had always been a concern of mine I’m going to check the dentist office number.

But before I... View More

Mark Oakley
Mark Oakley
answered on May 16, 2022

It will depend on whether each of the dental procedures were either (1) part of a single overall plan for one total price that took multiple procedures to complete, or (2) whether each procedure was a separate unrelated dental procedure with a price charged for each. In the former situation, the... View More

1 Answer | Asked in Health Care Law for Maryland on
Q: My payroll dept failed to deduct my health insurance premiums from my pay for seven years. When I learned about it I

brought it to their attention. They now want to collect nearly $20,000 from me. Can they do that?

Mark Oakley
Mark Oakley
answered on Feb 19, 2022

I guess you never heard of, or properly appreciated, the old saws, "Let sleeping dogs lie" and "Don't poke the bear." Let's unpack this a bit from the legal perspective: are you entitled to keep a benefit you know you are supposed to pay for, but by mistake, it... View More

1 Answer | Asked in Health Care Law for Maryland on
Q: Need help with burial

Need to bury body on a family plot

Mark Oakley
Mark Oakley
answered on Feb 5, 2022

MD Code, Health-General Article, § 5-514. Burial or disposal of body.

(a) In general. -- An individual may not bury or dispose of a body except:

(1) In a family burial plot or other area allowed by a local ordinance;

(2) In a crematory;

(3) In a cemetery;...
View More

1 Answer | Asked in Arbitration / Mediation Law, Civil Litigation and Health Care Law for Maryland on
Q: What approach would you recommend in a situation when hospital security deny a father access to seeing his child born?

My boyfriend was not allowed to see our daughter born 2 weeks ago when he was in the lobby trying to get me . His wallet was stolen so he didn't have his ID but he had a copy of his birth certificate and he is listed in my hospital records as my emergency contact. He was peaceful and the... View More

Tim Akpinar
Tim Akpinar
answered on Feb 6, 2022

A Maryland attorney could advise best, but your question remains open for two weeks. I'm sorry for your unfortunate experience. In terms of legal advice you seek before meeting with hospital staff, you could reach out to a local attorney to discuss in further detail. You likely already know... View More

1 Answer | Asked in Family Law, Elder Law and Health Care Law for Maryland on
Q: I'm being accused of elderly abuse of my mother, only because I will no send thousands of dollars out for free. What now

He husband passed Oct 16, 2021 Now he's gone, I'm the bad one because I won't send 20,000 dollars immediately after his passing

Mark Oakley
Mark Oakley
answered on Nov 4, 2021

If you are being charged with a crime by the police or prosecuting authorities of the state, hire a criminal defense lawyer. If some family member or other person is just accusing you of elder abuse but is not an authorized representative of the State or local government having authority over... View More

1 Answer | Asked in Health Care Law for Maryland on
Q: Can someone else’s dentist ask if I have an autoimmune disease
Mark Oakley
Mark Oakley
answered on May 27, 2021

Absolutely they can ask. And you have the absolute right not to answer.

1 Answer | Asked in Contracts, Civil Litigation, Collections and Health Care Law for Maryland on
Q: I'm being sued by a doctor who did my surgery 3 years ago.

Three years ago I had my gallbladder removed. At the time I had only recently been approved for Medicaid, but didn't have an insurance card or anything like that. A couple of weeks later I got my insurance card in the mail. So, I brought it into the hospital and explained to them how I had not... View More

Mark Oakley
Mark Oakley
answered on May 23, 2021

You have two issues: (1) whether you were covered by Medicaid at the time of the surgery, and if so, whether you provided your Medicaid information and met the conditions of coverage--and the doctor submitted their request for payment--within the time frames required; and (2) whether the doctor... View More

1 Answer | Asked in Health Care Law for Maryland on
Q: Define a satellite organization. What if the satellite organization is an ERISA plan.

I am a healthcare provider treating Medicaid patients. I have 2000 employees and file 5500s. One of our subsidiaries has been in state plan and we can save money by putting all our employees in the state plan. Can we?

Mark Oakley
Mark Oakley
answered on Mar 31, 2021

You really need to find a lawyer who practices healthcare and insurance law, and not be asking such questions that affect a business and employee base this large as yours on a question-and-answer board. I imagine there are far more information and details that need to be looked into before you can... View More

1 Answer | Asked in Business Law and Health Care Law for Maryland on
Q: Can I be held liable for a dental bill when correct amounts were not initially disclosed or signed for?

My dentist office continuously provided procedures under the pretense that they would be covered by my insurance. I have now discovered that I hit my spending limit, despite asking the office multiple times if I was coming up on it. They are now holding me accountable for out of pocket costs that I... View More

Mark Oakley
Mark Oakley
answered on Mar 30, 2021

Unless you can show a knowing and intentional act on the part of the dental office to fraudulently trick you into dental services they knew were not covered by your insurance plan, and you clearly and unequivocally communicated to them that you would only accept the procedures if they confirmed... View More

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