Division of Administrative Hearings, Florida
Filed: Jul. 23, 2008
The issues presented are (1) whether the Subscriber Assistance Panel had jurisdiction to hear the Subscriber's appeal; (2) whether this matter is properly before the Division of Administrative Hearings; and (3) whether the cold water therapy device utilized by the Subscriber is covered under the subject Humana commercial policy.Cold water therapy device is determined to be a convenience item and, therefore, excluded from coverage as failing to meet all the criteria in the definition of durable medical equipment contained within the Certificate of Coverage.
