SAN FRANCISCO (CN) – Blue Shield of California violates its own policies, and state law, to deny coverage for residential treatment for the mentally ill, a class action claims in Federal Court. The class claims Blue Shield violates state law requiring coverage for “seriously emotionally disturbed” children and adolescents.
The lead plaintiff alleges Blue Shield improperly denied coverage for his adopted son’s residential psychotherapy treatments, and refused to consider any appeals. Plaintiffs want to be reimbursed for costs of the residential treatments, and Blue Shield enjoined from ducking costs in the future. They are represented by David Linienstein.