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Your bank balance could look healthier thanks to this healthcare company.
Anthem has agreed to a $12.875 million settlement in a class action lawsuit, with customers of the multi-billion dollar insurance company now set for a possible payday.
Members who who had their claims for residential treatment of a mental health condition or substance use disorder denied by Anthem between Apr. 29, 2017, and Apr. 30, 2025 could be eligible should they submit relevant documentation.
As part of the suit, plaintiffs alleged that Anthem denied “certain coverage requests for residential treatment services, determining that the care was not medically necessary” by using a “criteria that were more restrictive than generally accepted standards of care.”
Anthem denies all claims but has entered into the settlement to “avoid the expense and uncertainty of litigation.”
If you paid out-of-pocket for residential treatment services after Anthem denied your request for coverage between the aforementioned dates, you can submit a claim to join become a Class Member by Jan. 20.
The amount you receive from Anthem will depend in part on how many Class Members submit claims.
All Class Members will receive either a pro rata share of the Out-of-Pocket Reimbursement Fund or a nominal payment of at least $100.00, per a notice shared by Anthem.
A Fairness Hearing will be held on Jan. 26 to consider whether the settlement is “fair, reasonable, and adequate.”
