Insurer’s Eating Disorder Coverage Denial Complied With Plan Terms, Judge Says

Mealey's (April 19, 2023, 1:28 PM EDT) -- AUSTIN, Texas — An insurer’s decision to stop covering a child’s eating disorder treatments after concluding that they were not medically necessary complied with plan guidelines, and the plan permitted payment at the rate the insurer chose rather than the one negotiated by its contractor, a federal judge in Texas said in finding for the insurer after a bench trial....