“Aetna’s obligation to cover medical treatments”
This wouldn’t be the first time I’ve seen an insurance company refuse to cover services not that necessarily are experimental, jut that they consider new & experimental.
And are insurance companies required to cover all medical treatments? For example, relatively few insurers cover LASIK as glasses have been around since antiquity, & contacts are available.
There was an instance in your state, I believe, where a child covered by Tri Care was denied a gastric bypass (age 12). Child was obese due to a pituitary tumor that, even when removed, her body didn’t respond to diet & exercise & she was openly ridiculed in public.
Tri Care refused to cover citing safety concerns for a child still growing (it isn’t commonly performed on growing children). Parents appealed & got the procedure covered.
Once again, is insurance, even under the ACA, required to cover all medical treatments? It appears the lady in the original article received the proton based therapy & died. Would insurance coverage or payments made otherwise have made a difference?
