Healthcare/Hospital Law
May 12, 2009
State Now Refuses to Review Disputes Over Autism Coverage
In the last month, five children have been denied a review of their insurers' rejection of autism treatment coverage. The denials signal a sharp turn by the state department that regulates HMOs.
Daily Journal Staff Writer LOS ANGELES - When Kevin Epstein appealed his insurer's denial of coverage for his son's autism to state regulators, he thought he had an airtight case. Other parents had made health plans pay by requesting a legally binding second opinion that the treatment is needed. Epstein said he also had proof that his insurer, Blue Shield of California, had approved the costly care before changing its tune. ...
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