DOE v. HARVARD PILGRIM HEALTH CARE, INC.

No. 19-1879.

974 F.3d 69 (2020)

Jane DOE, Plaintiff, Appellant, v. HARVARD PILGRIM HEALTH CARE, INC.; The Harvard Pilgrim PPO Plan Massachusetts, Group Policy Number 0588660000, Defendants, Appellees.

United States Court of Appeals, First Circuit.

September 9, 2020.


Attorney(s) appearing for the Case

Mala M. Rafik , with whom Sarah E. Burns , Boston, MA, and Rosenfeld & Rafik, P.C. were on brief, for appellant.

Steven L. Schreckinger , with whom Jane M. Guevremont , Boston, MA, and Anderson & Kreiger LLP were on brief, for appellees.

Before Torruella, Selya, and Kayatta, Circuit Judges.


Jane Doe spent several months of 2013 at a residential mental health treatment center, interrupted by several days in an inpatient hospital in June of that year. The Defendants ("Harvard Pilgrim") agreed to cover the costs of Doe's treatment at the residential facility, the Austen Riggs Center ("Riggs") in Massachusetts,...

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