If your health insurance company denied coverage for mental health or behavioral health treatment, you are not alone — and you may have the right to challenge the denial. Our health insurance denial lawyers represent individuals and families across the United States whose insurers wrongfully refuse to pay for necessary treatment.

Insurance companies frequently deny residential treatment, partial hospitalization (PHP), intensive outpatient programs (IOP), inpatient treatment, and other care for mental health or substance use disorders. This includes services and treatment for Autism Spectrum Disorder, Anxiety Disorders, Eating Disorders, Oppositional/Behavioral Disorders, and Substance Abuse Disorders. These denials often cite reasons such as:

• “Unproven”
• “Experimental”
• “Investigational”
• “Not medically necessary”

Under the Mental Health Parity and Addiction Equity Act (MHPAEA), health plans that provide mental health or substance use disorder benefits must cover those services on equal terms as medical and surgical benefits. When insurers impose stricter standards or create barriers to accessing mental and behavioral health treatment, they may be violating the Mental Health Parity Act and the Employee Retirement Income Security Act (ERISA). Our attorneys investigate these cases and pursue legal action when appropriate. An experienced attorney can help determine whether your plan is covered and whether your denial violated federal law.

Contact Us

If you or someone you know was denied coverage for mental health or behavioral health treatment, or if you were unable to access in-network care, we encourage you to submit information through our intake form.

If possible, please include the following information:

• Full Name
• Email Address
• Phone Number
• State of Residence
• What insurance do you have this issue with? (List insurer, plan name, whether obtained through employer, marketplace, or other. If you know whether your plan is ERISA-governed, please note that too.)
• Brief description of your experience. (What care were you seeking? What was the reason for the denial?)
• Did you end up receiving out-of-network care or did not receive care because of the denial? 
• Anything else you think we should know.

The more detail you provide, the more efficiently our team can evaluate your potential claim.

Legal Notices & Disclaimers

This website is for informational purposes only and may be considered attorney advertising. Prior results do not guarantee a similar outcome.

attorneys are admitted to practice law in Florida, New York, and the District of Columbia. We represent clients in other jurisdictions in accordance with applicable ethical rules and court requirements, including, when necessary, working with local counsel or seeking pro hac vice admission.

Submitting information through this website or completing our intake form does not create an attorney–client relationship. A formal attorney–client relationship is created only after we review your submission, determine that we can assist, and both you and the firm execute a written engagement agreement.

The information on this page is provided for general informational purposes only and is not legal advice. You should not rely on this information as a substitute for seeking advice from a licensed attorney regarding your specific situation.