Tousignant v. Allstate Insurance

In this action for reimbursement of medical expenses, plaintiff appeals as of right from an order granting defendant summary disposition pursuant to MCR 2.116(C)(9) and (10). We reverse.

Plaintiff was injured in an automobile accident on July 18, 1987. At that time, her primary health care provider was a health maintenance organization, Health Alliance Plan. Plaintiff first sought and obtained treatment through her hmo. However, she subsequently was treated by dentists and doctors who were not members of the hmo. These expenses were not covered by the hmo, and plaintiff submitted a claim to…