Class Action Suit Alleges BCBS Of Massachusetts Improperly Denied Residential Mental Health Claims

On October 31, 2018, a group of people covered under a Blue Cross Blue Shield of Massachusetts (BCBSMA) employer-sponsored health plan sued the insurer alleging that it systematically denied member claims for residential mental health treatment. The complaint, Steve C, Kelly W. & Jane Doe, et al., v. Blue Cross Blue Shield Massachusetts, was filed as a class action. No hearing date has been set.

The plaintiffs allege that BCBSMA violated the terms of its insurance policies and self-funded medical benefit plans by denying claims for inpatient intermediate mental health residential treatment. They say that BCBSMA used a . . .