Podcasts & RSS Feeds
Most Active Stories
- "Tea Party thinking" is causing serious damage and threatens to cause much more
- Michigan's infrastructure crumbling as lawmakers work to take away your vote on wolves
- How a Potawatomi tribe lost its culture and what it takes to bring it back
- Some question aggressive police tactics in West Michigan
- Why are we not taking climate change seriously?
Wed April 3, 2013
Federal judge rules against Blue Cross in autism lawsuit
A federal judge has ruled that Blue Cross must pay hundreds of Michigan families who were denied coverage for behavioral therapy for children with autism.
Blue Cross contends the therapy is experimental, but doctors disagree.
The ruling may cost Blue Cross about five million dollars.
Attorney Gerald Mantese represented the hundreds of Michigan families that sued Blue Cross. He says the judge found Blue Cross/Blue Shield of Michigan’s “characterization of Applied Behavioral Analysis Therapy as ‘experimental’ was totally arbitrary…and contrary to the medical evidence.”
Mantese is also an attorney in a similar lawsuit in Philadelphia against Cigna insurance. Thousands of autism patients are involved in that lawsuit.
“This ruling will help us fight against (Cigna),” says Mantese.
Blue Cross/Blue Shield of Michigan may appeal the federal judge’s ruling.