Mother files suit against Blue Shield of California over denial of coverage of son's care

By Jenie Mallari-Torres | Nov 22, 2018

SAN FRANCISCO – A parent is suing an insurance company over allegations it wrongfully denied coverage of residential treatment care for her minor son.

Sharon G. filed a complaint on Nov. 8 in the San Francisco County Superior Court against California Physicians' Service, doing business as Blue Shield of California, and Does 1-10 alleging breach of contract and other counts.

According to the complaint, the plaintiff alleges that she is responsible for the health care of her minor son, Ryan C., and is a subscriber to the defendant's health insurance benefits. The suit states Ryan has a history of mental illness and serious emotional disturbances and his physicians recommended residential treatment. 

The plaintiff alleges that although his care providers said the treatment was medically necessary, the defendants have denied coverage for Ryan's treatment. She alleges this denial has breached a contract.

The plaintiff requests a trial by jury and seeks judgment against defendants for general, punitive, exemplary, treble and special damages; costs of suit; attorney's fees and further relief as the court deems just. She is represented by David M. Lilienstein and Katie J. Spielman of DL Law Group in San Francisco.

San Francisco County Superior Court case number CGC-18-571220

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