Blue Cross Blue Shield Is Not Too Big To Sue
As a Delaware trial lawyer, I'm proud that our court system allows parents to fight for the rights of their children. And I'm also proud that our system lets David go after Goliath, and win.
How many times have you gotten angry when your insurance company refused to pay for your medical treatment? Well, a group of parents in Michigan decided to take on BCBS when it refused to cover behavioral therapy for children with autism spectrum disorder. The case recently settled for over $1 million, and under the settlement, Blue Cross will pay for behavioral therapy rendered to over 100 children in the last six years.
According to BCBS, it had denied coverage claiming that the therapy was "experimental." Incredibly, during the lawsuit it was discovered that BCBS had internal documents that said:
"Applied behavioral analysis (ABA) is currently the most thoroughly researched treatment modality for early intervention approaches to autism spectrum disorders and is the standard of care recommended by the American Academy of Pediatrics, National Academy of Sciences Committee and the Association for Science in Autism Treatment."
Blue Cross' own documents further acknowledged that "The earlier the disorder is diagnosed, the sooner the child can be helped through treatment interventions."
If you believe a claim you submitted to your health insurance company was improperly denied, contact a Delaware trial lawyer to find out whether your rights have been violated.