What to do if I have had a mastectomy and now my insurance has denied breast reconstructive surgery?
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What to do if I have had a mastectomy and now my insurance has denied breast reconstructive surgery?
What are my options?
Asked on September 3, 2013 under Insurance Law, Tennessee
Answers:
SJZ, Member, New York Bar / FreeAdvice Contributing Attorney
Answered 10 years ago | Contributor
If you believe that under the terms of your insurance policy--which is, after all, a contract--your insurer would have to pay for breast reconstructive surgery for you, you could sue them for breach of contract. In a lawsuit, assuming that they do not settle first, a court will have the chance to determine whether the insurer should or should have paid; and if so, you will get a judgment requiring payment.
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