According to a lawsuit recently filed against Blue Shield of California, the company wrongfully failed to provide coverage for microprocessor-control prosthetic feet. The lawsuit alleges that the company deemed them as “investigational” and refused to provide coverage.
Microprocessor-controlled feet prostheses are artificial feet that respond to feedback from sensors to a computer in the feet. The computer can change resistance to downward motion and upward motion of a foot based on walking speed, incline, decline, and type of terrain. The computer can make adjustments in real time, which can decrease falls, increase stability, decrease discomfort and pain in the amputee, and improve ambulation.
According to the lawsuit, microprocessor-controlled feet are established and accepted by the medical community as standard, and they are routinely prescribed for people who meet appropriate medical criteria. Blue Shield has written policies about their coverage for prostheses. Their policies state that microprocessor-controlled feet are investigational. The lawsuit alleges that there have been numerous studies about the benefits of microprocessor-controlled feed, and that the medical policies ignore data that support the use of microprocessor technology.
If you have had coverage of a microprocessor-controlled prosthesis denied by Blue Shield of California, you may be eligible to join the lawsuit. Call Los Angeles personal injury attorney Conal Doyle at 310-385-0567. He can advise you on the best course of action to take. Call today to schedule your free consultation.