17 year-old girl dies after being denied a liver transplant by CIGNA, her insurance carrier.
December 27th, 2007Health insurance contracts–and government plans like Medicare and Medicaid–rightly contain provisions that can be used to deny payment for unnecessary or inappropriate treatment. If they didn’t have these limitations every quack in America would be feeding at the reimbursement trough.
But what these provisions should not do is ever deny a legitimate attempt to save someone’s life. The insurer has the burden to act responsibly and, if the family disagrees with the call, provide an independent and fast third-party appeals process for what can be life and death decisions.
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