The Online Resource for Massachusetts Poverty Law Advocates

Hoye v. Sebelius

U.S. District Court, D. Mass.

Skilled Nursing Facility patient sued on a denial of Medicare coverage by his Medicare Advantage plan.  The District Court remanded for a hearing to determine whether outpatient services were, as a practical matter, available and feasible.  The burden of proof on "available and feasible" falls on the plan, not the patient.

Click the "Go to Website" link to download the decision.

Limit Offer