Can Insurance Companies Ignore Treating Physicians' Opinions?

LISTEN TO THIS EPISODE to find out how a founder and innovator fought against his insurance company for his long-term disability claim. The primary issue was whether Aetna's denial was random and unfair, particularly when their own hired consultants acknowledged Daniel's severe limitations. The CLAIMANT suffered from neuromyelitis optica (NMO), a severe neurological condition also known as Devic's Disease. Despite extensive treatments, including chemotherapy and various medications, his condition progressively worsened, leading to significant impairments that he claimed prevented him from working.He applied for a long-term disability claim, but Aetna denied his application on the basis that the medical evidence did not support a finding of total disability as defined by their policy. This decision was made despite the opinions of the claimant's treating physicians, who provided consistent evidence of his inability to work. The claimant's team filed an appeal against Aetna, arguing that the insurance company ignored substantial medical evidence and failed to consider his subjective symptoms, which were well-documented by multiple physicians. JOIN US as we unravel the complexities of this case and discuss the broader implications for those seeking disability benefits. This is the oral argument in the 2nd circuit court of appeals.These public domain recordings are brought to you by Ben Glass Law, a national long term disability and life insurance firm headquartered in Fairfax, VA.By making these recordings into a "podcast," we've made the listening easier for claimants, attorneys and claims adjusters alike. If long term disability or life insurance benefits have been denied, we'd love to review your denial letter and give you a strategy for moving forward. This is a free service and you can go here to begin submitting your denial letter.