Jonathan M. Feigenbaum Won An Important Case against The Prudential Insurance Company: Press Release
First Circuit reverses District Court reinstating putative class action causes of action against The Prudential Insurance Company of American who insured an employer provided long-term care plan. Boston, Massachusetts, February 14, 2024 – In an important ruling under ERISA, the First Circuit Court of Appeals reinstated a former Tufts University employee’s claims against Prudential due […]
Appealing a Long-Term Care Claim Denial: A Step-by-Step Guide
If your long-term care insurance claim has been denied, you may feel frustrated and unsure of what to do next. However, the good news is that you have the right to appeal the denial. Here is a step-by-step guide to help you through the appeals process: Step 1: Review the denial letter The first step […]
Recognizing Significant Cognitive Decline for Long-Term Care Qualification
As we age, it’s natural for our cognitive abilities to undergo changes. Yet when these changes become more pronounced and start interfering with daily functioning and overall quality of life, it may suggest a significant cognitive decline. Qualifying for long-term care based on cognitive decline involves a comprehensive assessment to ensure that individuals receive the […]
Important Role of Activities for Daily Living (ADLs) In Long-Term Care Insurance
Long-Term Care insurance (LTC insurance” serves as a vital safety net, providing financial protection to individuals who find themselves unable to care for themselves usually do to aging Most LTC policies pay benefits when the insured is unable to accomplish two Activities for Daily Living (ADLs). ADLs are essential tasks that individuals typically perform daily. […]
What Is a Secondary Notice Policy Lapse?
A Secondary Notice Policy Lapse refers to a situation where a policyholder fails to pay their insurance premium on time, resulting in a lapse or termination of the policy coverage. In this scenario, the insurance company sends a secondary notice to the policyholder informing them of the policy lapse and the consequences of not making […]
What Is Insurance for Long-Term Care?
Long-term care insurance (LTC insurance) is a type of coverage for those who can no longer care for themselves due to a disability, chronic illness, cognitive impairment, or loss of functional capacity. Although these insurance policies are not based on age, the elderly are most in need of these policies. Policies for long-term care may […]
How CPT Codes Affect Orthopedic Surgeon LTD Claims and How to Appeal such Denials
Many insurance companies have aggressively marketed their disability insurance coverage to physicians, dentists and others, specifically targeting “specialists” with attractive “Own Occupation” protection. The insurance companies induced these professionals to purchase disability insurance with liberal definitions of Total Disability, such as “the inability to perform the material and substantial duties of Your Own Occupation, They […]
How CPT Codes Affect OBGYN LTD Claim
Due to the significant changes in how medical billing is coded, it’s essential to keep up with current coding tips to help protect your practice and avoid claims denials. Denials for procedures hit 17% in 2021, with even higher rates in hospitals. One of the most significant contributors to OBGYN LTD’s claim denials is incorrect […]
7 Steps to Take Before Filing a Long-Term Care Claim
If you or a loved one are in dire need of a long-term care plan, the process of filing a claim can be quite difficult to navigate. Here are some essential steps to take while in the process of filing a long-term care claim. Designate a family to coordinate the process Before filing a claim, […]
