Denial Of Claims For Drugs Not 'Medically Necessary' Is Not Bad Faith, Judge Rules

Denial Of Claims For Drugs Not 'Medically Necessary' Is Not Bad Faith, Judge Rules

OKLAHOMA CITY - Because certain prescribed cancer drugs were determined to be not "medically necessary" or accepted by the medical community at large, an Oklahoma federal judge on Oct. 1 concluded that an insurer did not breach its contract or act in bad faith by denying a policyholder's coverage claims for those drugs (Dana J. Delluomo v. American Medical Security Life Insurance Co., No. 5:11-cv-01337, W.D. Okla.; 2013 U.S. Dist. LEXIS 141502).

Find full version on lexis Advance®
Access this news story on lexis.com®