According to Insurance News Net, a judge in Michigan ruled that Blue Cross Blue Shield of Michigan is to pay a sum of $ 125,000 to Cheryl Matthews. Matthews continued Blue Cross when the company did not pay the insurance claims of $ 38,000 for the treatment of applied behavior analysis given to autistic son Matthews.
Blue Cross had denied the allegations under the belief that Applied Behavior Analysis (ABA) therapy was not an approved form of medical treatment under insurance policy Matthews Matthews disease. Blue Cross has sought to dismiss the case, but Judge Prentis Edwards of Wayne County Circuit Court rejected the company's motions requiring Blue Cross to settle or go to trial.
ABA is a treatment used for autism spectrum disorders and help autistic children perform daily activities. Although many states require insurers to pay for ABA therapy for children with autism, Michigan has not passed a similar law - which is very expensive to cover.
The lawyer Matthews think this is the first colony to show the connection inability of children with autism spectrum disorders for applied behavior analysis therapy and increased future costs of care health due to the decline in operating these children disorder. They say that these trials will continue as long as insurers deny ensure ABA therapy.
It will be interesting to see how many trials like this continue without the legislation support.
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