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Mississippi Insurance Provider Denies Claim of Doctor with Cancer

A 36-year-old man with brain cancer was denied coverage for his treatment by the Mississippi state insurance provider.

The man receives health insurance through the state of Mississippi as an employee of the University of Mississippi Medical Center, where he works as a cardiac anesthesiologist. Blue Cross Blue Shield provides insurance for Mississippi state workers.

The doctor learned he has brain cancer in March of 2019. After surgery, his oncologists recommended proton therapy as the best form of treatment. Proton therapy has grown as a preferred choice over traditional radiation therapy, because doctors are able to target tumors with minimal damage to surrounding healthy cells. However, with only 31 proton therapy centers throughout the country, not every state has nearby access to the treatment — Mississippi is one example.

Without an in-state provider, the man had to travel to the MD Anderson Cancer Center in Houston, Texas, where he will undergo treatment for several weeks. The therapy, which is expected to cost $150,000 total, was not covered by Blue Cross Blue Shield because it is “unnecessary and experimental,” according to a spokesperson for the insurance company who was reached by the Mississippi Clarion Ledger for comment.

The family of the young doctor will pursue legal action against Blue Cross Blue Shield if their insurance claim is totally denied, following suit behind cancer patients around the country who were denied coverage for the less risky — but more expensive — form of radiation therapy.

At Anderson Boutwell Traylor, we’re Louisiana trial lawyers and have dedicated our practice to representing injury victims in the fight against big business and insurance companies to try to make them do the right thing and pay claims that they owe.  Sadly, stories like this are all too common.  Too many companies these days put profits over people.  We aggressively fight every day for the little guy and try to level the playing field.

Contact us to discuss your case if an insurance company has denied your claim related to an injury. Call (985) 796-2245 or use our message form to schedule a free case evaluation.