SCULLION v. TRAVELERS HEALTH NETWORK

Civ. A. No. 88-1316.

720 F.Supp. 530 (1989)

Robert SCULLION v. TRAVELERS HEALTH NETWORK, a corporation, a/k/a Travelers Health Network of Pennsylvania, Inc.

United States District Court, W.D. Pennsylvania.

September 27, 1989.


Attorney(s) appearing for the Case

William A. Weiler, Pittsburgh, Pa., for plaintiff.

John D. Newborg, Pittsburgh, Pa., for defendant.


OPINION

COHILL, Chief Judge.

Plaintiff underwent an inpatient hospital admission for substance abuse, but his health insurer, a Health Maintenance Organization (HMO), has refused payment because plaintiff did not attend a treatment facility on the HMO's approved list. Plaintiff sued for the amount of the bill and defendant now moves for summary judgment.

FACTS

There is considerable discrepancy between plaintiff's recollection of events...

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