Health Care & Hospital Law
Feb. 19, 2010
Rare Case Against Insurer Heads to Trial Over Denial of Care
A Lebanese immigrant who paid for his own out-of-state liver transplant when his insurer refused said he is suing Anthem so other insured patients won't die waiting for organ transplants.
Daily Journal Staff Writer
LOS ANGELES - Ephram Nehme's liver was giving out on him. His doctors said he needed a transplant. His insurer agreed but would only pay for the procedure at an "in-network" hospital in California, where the waits can stretch as long as two years.
Afraid he would die waiting, Nehme took $206,000 from his savings and paid to have the surgery in Indiana, where the wait was ...
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