What Do You Mean It's Not Covered: Policy Langauge Impacts Coverage for Cancer and AIDS

The supreme court sided with Blue Cross, holding that Griffis' claim for bad faith refusal to pay only involved an ordinary bad faith claim and, thus, claim was subject to directed verdict on contract claim standard. "I'd say it was typical for Blue Cross to use this kind of exclusion on experimental or investigatory procedures," said an attorney involved in the case. "I have seen lots of other cases like this... I can't remember any off the top of my head, but with cancers... a lot of procedures can be viewed as experimental. AIDS cases too...." maximum payment: The maximum payment which we will make for insured expenses for any one injury or sickness for the payment period.

The policy has a "maximum payment," which is the most the insurance company will pay for expenses related to any one injury or sickness during the payment period. This is also sometimes called a "limit of liability." payment period: The maximum period of time for which we pay insured expenses for any one injury or sickness after the satisfaction of the deductible.