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New York Life Lengthy-term Care Insurance coverage Declare Denial?

New York Life longterm insurance coverage declare denials are frequent.  New York Life Insurance coverage Firm has an extended historical past of improperly denying long-term care (LTC) insurance coverage claims. Throughout the nation, policyholders are repeatedly being pressured to file lawsuits in opposition to the corporate so as to get well the long-term care advantages that they’re owed underneath their New York Life long-term care coverage.

It’s not unusual for insurance coverage corporations like New York Life to disclaim claims with a watch towards maximizing their income. In lots of instances, insurers is not going to correctly examine a long-term care declare till authorized motion is introduced in opposition to them. That’s the place Donahue & Horrow long run care insurance coverage legal professionals may help.

Our group has intensive expertise advocating for policyholders such as you. In spite of everything, you’ve paid your insurance coverage premiums and New York Life ought to honor the coverage. Sadly, this isn’t at all times the case.

New York Life shouldn’t be the one firm that has a sample and observe of improperly denying long-term care insurance coverage claims. Many insurance coverage corporations deny claims with out a legit investigation or purpose. Don’t let New York Life or every other insurance coverage firm bully you into accepting their rationalization as to why you aren’t entitled to advantages underneath your coverage. You may at all times battle to your insurance coverage proceeds. In spite of everything, you held up your facet of the contract. The insurance coverage corporations ought to to do the identical.


How You Can Qualify for Lengthy-Time period Care Insurance coverage Advantages

Whereas each insurance coverage coverage is completely different, most LTC insurance policies state that you’ll qualify you for long-term care advantages in case you want help with two of six actions of day by day residing (additionally known as ADLs). These are ADLs embody:

  • Getting dressed
  • Consuming and feeding oneself
  • Continence
  • Utilizing the restroom
  • Each day hygiene and bathing actions
  • Transferring (getting away from bed or chair)

For example, you’d qualify for LTC advantages when you have problem or need assistance with bathing and in addition getting dressed. In most conditions, a cognitive impairment would additionally qualify for you for advantages.

Insurance coverage corporations, like New York Life, at all times require that you just present written proof out of your physician or a licensed healthcare skilled that you just want help with any two of the ADLs. Different documentation to assist your case may embody a day by day journal that information the time and place of your particular challenges. A video report of your day by day life that proves your want for help is a strong strategy to inform your story.


The Key Is To Know Your Coverage

It’s essential to know exactly what you qualify for underneath the phrases of your coverage. If New York Life denied your long-term care declare, take one other take a look at the coverage to see in case you consider the denial was per the phrases of the coverage.

For instance, many LTC insurance policies have a set restrict of reimbursement per day. It may between $100 to $500 per day. And, these day by day bills add up quick. If denied, you or the one you love may very well be pressured to pay out of your property belongings. Your incentive to battle a denial couldn’t be stronger. You need to be aware of these particulars previous to submitting a declare

Different issues to learn about your coverage advantages embody:

– Who generally is a caregiver? A member of the family, or an expert caregiver?

– Do you must reside in a care facility to obtain advantages? Or can you reside at dwelling?

We perceive that insurance coverage insurance policies can typically appear lengthy and complicated. The attorneys at Donahue & Horrow have reviewed hundreds of various insurance coverage insurance policies, and in case you are confused, will have the ability to clarify the ins and outs of your long-term care coverage to you.


Contact Us

Donahue & Horrow attorneys will deal with you with compassion and respect. We perceive that you just or your member of the family are dealing with vital bodily, emotional and monetary challenges. It’s unattainable to battle the mixed strengths of an enormous insurance coverage firm whereas persevering with to face your day by day challenges. By working with us, we’ll deal with the insurance coverage firm so you possibly can deal with your self and your family members.

We take all of our instances on a contingency foundation – you don’t want to pay us something until and till we get well insurance coverage advantages for you. In case your declare has been denied, or even when it hasn’t been denied but, name us at this time for a free session.

Our agency relies in  Los Angeles, however we journey and litigate instances all through California, and even the complete United States. We will schedule a date and assembly location that’s handy for you.

Cellphone: 310-322-0300
Toll Free: 877-664-5407
Fax: 310-322-0302

Donahue & Horrow LLP
1960 E. Grand Avenue, Suite 1215
El Segundo, CA 90245

Long run care insurance coverage rationalization.



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