Legal Opinion

Whitney v. Empire Blue Cross and Blue Shield

District Court, S.D. New York

Decided March 19, 1996No. 93 Civ. 0299 (RWS)PublishedCited by 3 opinions

1Opinion of the Court

OPINION

SWEET, District Judge.

This case presents the issue whether High Dose Chemotherapy (“HDC”) followed by Autologous Bone Marrow Transplantation (“ABMT”) is a covered treatment for • advanced metastatic breast cancer under a Tradition Plus Hospitalization Policy (the “Poli cy”) issued by defendant Empire Blue Cross & Blue Shield (“Empire”) to plaintiff, decedent Barbara Whitney (“Whitney”). Empire rejected coverage of Whitney’s treatment on the ground that HDC/ABMT for breast cancer was “experimental” or “investigational” under the terms of the Policy. After a trial before the Court and…

2Cases cited35 opinions

  1. Firestone Tire & Rubber Co. v. BruchSupreme Court of the United States · 1989
  2. Fred Brown v. Blue Cross and Blue Shield of Alabama, Inc.Court of Appeals for the Eleventh Circuit · 1990
  3. Richard Atwood v. Newmont Gold Co., Inc., a Delaware CorporationCourt of Appeals for the Ninth Circuit · 1995
  4. John Doe Firm Doe v. Group Hospitalization & Medical Services, D/B/A Blue Cross and Blue Shield of the National Capital AreaCourt of Appeals for the Fourth Circuit · 1993
  5. Arthur Chambless and Mildred H. Chambless v. Masters, Mates & Pilots Pension PlanCourt of Appeals for the Second Circuit · 1987

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3Cited by3 opinions

  1. Pens. Plan Guide (Cch) P 23931u Katherine F. Whitney, as of the Estate of Barbara Whitney v. Empire Blue Cross and Blue ShieldCourt of Appeals for the Second Circuit · 1997
  2. Velez v. Prudential Health Care Plan of New York, Inc.District Court, S.D. New York · 1996
  3. Weissman v. First Unum Life InsuranceDistrict Court, S.D. New York · 1999

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