1.0 DESCRIPTION
Court-ordered care is medical
service, including inpatient admissions, that a court of law orders
or directs a party in a legal proceeding to obtain.
2.0 POLICY
The fact that medical services
are ordered by a court does not determine the coverage of those
medical services. Benefits will be paid only if the service is to
diagnose or treat a covered condition, if the service is at the
appropriate level of care to treat the condition, and if the beneficiary
(or the beneficiary’s family) has a legal obligation to pay for
the service.