Blue Cross Sued For Denying Gilead Hep C Drug Coverage

By Dani Kass (May 28, 2015, 7:37 PM EDT) -- Blue Cross and Blue Shield of Florida Inc. wrongfully denied policyholders Gilead Sciences Inc.'s newly approved yet expensive treatment for hepatitis C, according to a putative class action filed Wednesday in Florida federal court.

The insurance company refused its contractual duty to provide coverage for medically necessary treatments for Janie Kondell, who has had hepatitis C for 10 years — and others in similar positions — because her "liver had not sufficiently deteriorated," the suit claims.

"In other words, defendant decided that Ms. Kondell hadn't suffered enough, and her liver hadn't been damaged enough, by a disease that causes irreparable harm...

Stay ahead of the curve

In the legal profession, information is the key to success. You have to know what’s happening with clients, competitors, practice areas, and industries. Law360 provides the intelligence you need to remain an expert and beat the competition.

  • Access to case data within articles (numbers, filings, courts, nature of suit, and more.)
  • Access to attached documents such as briefs, petitions, complaints, decisions, motions, etc.
  • Create custom alerts for specific article and case topics and so much more!


Attached Documents

Related Sections

Case Information

Case Title

Subscribers Only

Case Number

Subscribers Only


Subscribers Only

Nature of Suit

Subscribers Only


Subscribers Only

Date Filed

Subscribers Only

Law Firms


Government Agencies

Hello! I'm Law360's automated support bot.

How can I help you today?

For example, you can type:
  • I forgot my password
  • I took a free trial but didn't get a verification email
  • How do I sign up for a newsletter?
Ask a question!