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Proposed Cancer Treatment Deemed 'Experimental'
Health Plan Law Link to more items from this source
[Guidance Overview]
Nov. 6, 2008
Excerpt: This lengthy opinion provides analysis of a benefit denial under a medical necessity exclusion, with particular emphasis on the 'experimental' or 'investigational' aspect of the proposed treatment. The court decided the case under an abuse of discretion standard of review. [Reimann v. Anthem Ins. Cos., 2008 U.S. Dist. LEXIS 88562 (S.D. Ind. Oct. 31, 2008)]

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