Harvard Pilgrim Wins Appeal Over $800-Per-Day Mental Health Care

Harvard Pilgrim Health Care Inc. defeated a college student’s lawsuit seeking coverage for four months of treatment at an $800-per-day mental health facility when the First Circuit said Wednesday a reasonable reading of expert reports backed the coverage denial.

The student, referred to as Jane Doe, said the federal judge who ruled against her was wrong to rely on the reports she said were incorrectly premised on the idea that coverage was available only if her symptoms required 24-hour care.

The U.S. Court of Appeals for the First Circuit disagreed, saying it was “hardly error” for the experts to note ...