A high school student with a class 3 underbite sought approval for health insurance coverage so that she could undergo a double jaw surgery. UnitedHealthcare denied coverage for the requested services, claiming the member’s condition was not a congenital anomaly and that surgery was not medically necessary. The client filed an appeal and a hearing was held. On December 13, 2016, UnitedHealthcare reversed its decision and approved coverage for the surgery. The client estimates this will save her family $50,000. Attorney Danielle Schroder represented the insured.
We are a Wisconsin law firm representing labor unions, and individuals in employment, family, disability, workers compensation, social security, personal injury and criminal legal matters. Through our Madison, Milwaukee, Appleton and Eau Claire offices, we help organized labor and individuals statewide prevail in their legal challenges.
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