Comcast and Insurer Wrongfully Denies Insurance Claims for Outdoor Therapy
A former employee has filed a class action lawsuit against Comcast and Magellan Health Services Inc. for refusing to cover her daughter’s wilderness outdoor therapy programs that are “comparable” to covered options at nursing homes and rehab facilities.
The class action lawsuit accuses the company and its insurer of violating the Mental Health Parity and Addiction Equity Act, a part of the Employee Retirement Income Security Act which prohibits insurance plans from unfair coverage restrictions of mental health services compared to general medical services.
Read about the case under the name: Be v. Comcast Corporation, et al., Case No. 1:20-cv-08571, S.D. NY.
Are you affected by the allegations in this class action lawsuit? Contact us today for help.
The Wilderness Outdoor Therapy Comparable to Mental Health Treatments at Rehabilitation Centers
According to the class action lawsuit, “Comcast’s health insurance plans exclude from coverage medically necessary services rendered at wilderness therapy programs while expressly covering comparable medically necessary services. This disparate treatment for comparable services results in Comcast being out of parity.”
The plaintiff’s daughter was diagnosed with several mental health disorders including generalized anxiety disorder, which resulted in eating disorders, suicide ideation, and severe depression. Doctors recommended the patient be enrolled in inpatient wilderness outdoor therapy, which uses adventure experiences to engage clients in cognitive and behavioral ways.
The therapy, which went on from July 2017 through September 2017, cost more than $29,000. Comcast’s insurer denied the claim and told the plaintiff that the therapy was not covered under her health plan.
Comcast’s health plan covered medically necessary inpatient mental health treatments, which included: “[l]odging and dietary services;” “[p]hysician, psychologist, nurse, counselor and trained staff services;” “[f]amily, group, and individual therapy and counseling;” “[p]artial hospitalization;” and “[f]acility-based day/night care.” Under these terms, the plan should have covered outdoor therapy.
The lawsuit contends that “coverage requests for medically necessary mental health services were denied on the strength of a plan exclusion for such services. The plan expressly covers comparable medical services rendered at skilled nursing facilities and rehabilitation hospitals,” and denial of the claim is a direct violation of the Mental Health Parity and Addiction Equity Act.
Editor’s note on the Outdoor Therapy Insurance Coverage Class Action Lawsuit:
This piece is written about the recent Comcast Outdoor Therapy Insurance Coverage Lawsuit. If you are considered eligible to be among the class of consumers described in the class action, you may eventually be able to participate in receiving any compensation the court may award.
If you believe that what is alleged in the Comcast Outdoor Therapy Insurance Coverage class action lawsuit has affected you, please don’t hesitate to reach out to us.
We’d be happy to help you take a step in the right direction, fight this issue, and better enable you to join the consumer class action. If interested, please send an email to Outreach@ConsiderTheConsumer.com, find us on Twitter or Facebook, or even connect with us directly on our website! We look forward to hearing from you all.
Similarly, please check out our current list of Class Actions and Class Action Investigations, here.
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