I pay into a health plan that is supposed to give me a discounted rate through a specific pharmacy. However, this pharmacy has on numerous occasions refused to provide medical equipment for diabetes, that is clearly covered under my contract. The additional money that I pay monthly is supposed to... View More 
answered on Oct 31, 2017
I think your next step is to contact the Office of the Attorney General of Virginia and make a formal complaint. They can investigate your claims and bring an action if they find a violation of your rights, and more importantly, they do not charge for their work. If you cannot get satisfaction... View More
answered on Oct 20, 2017
Big question in these cases is when you knew of the bad faith. Members of the Va. Trial Lawyers Assn give free consults. Look for someone who handles bad faith cases and see what they say as to your case.
Had foot surgery and was in therapy for 5 weeks, my insurance stopped therapy stating it was not medically necessary. I was making progress but when therapy stopped my foot regressed. I have gone through the appeal but have not been successful. I have lost my job due to the length of time out of... View More
answered on Nov 29, 2016
There may be legal action that you can take, but there will be a cost for attorney fees, filing fees, and experts. An attorney will have to study the policy to make sure.
They responded to the claim by checking further investigation. Now how long do they have after that, before they have to respond. Also any injury I obtain due to this amputation, such as losing my license and being held contempt of my Childsupport obligations. Can the Commissioner make the insurer... View More
answered on Sep 15, 2016
Once a claim for benefits has been filed with the Commission, a 20-day order is issued requiring the employer to accept or deny the claim. Perhaps you have not filed a claim form yet. Consequential damages are not benefits which can be awarded by the Commission; only statutory benefits for medical... View More
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