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Blue Shield of California was recently sued for failing to provide certain types of artificial limbs to its members suffering from limb loss. Two of its members sued the company for its failure to properly compensate for artificial limbs. The company’s written guidelines on coverage provided that “benefits are provided for Prostheses for Activities of Daily Living at the most cost-effective level of care that is consistent with professionally recognized standards of practice.” However, the company has refused to pay for microprocessor-controlled prostheses. It claims that the limbs are investigational, although there have been studies showing that the devices provide …

United Healthcare was sued late last year by two of its customers who suffer from limb loss. They claim that United failed to properly pay for the prosthetic limbs they needed. They are suing the company on behalf of themselves and other amputees whose claims for prostheses were denied by United Healthcare. One of the issues in the lawsuit is United’s written guidelines for the coverage of prosthetic arm and leg devices. The guidelines provide that “If more than one prosthetic device can meet the member’s functional needs, benefits are only available for the prosthetic device that meets the “minimum …

A lawsuit was recently filed against Anthem, a health insurance company that operates in several states. The lawsuit was filed by two customers of Anthem who have suffered from limb loss. The lawsuit alleges that Anthem did not properly cover the customers’ artificial limbs. The lawsuit alleges specifically that Anthem refuses to pay for microprocessor-controlled knees. Microprocessor-controlled knees feature a microprocessor, sensors, software, a resistance system, and a battery. The knee also has internal fluid. The microprocessor monitors each phase of a person’s gait cycle using a series of sensors, which detect and monitor changes in the environment. Based on …

Two individuals suffering from limb loss are suing Blue Shield for damages for its failure to pay for prostheses. The men were customers of Blue Shield who made claims for prostheses under the terms of their insurance plans. The company denied the claim of one of the plaintiffs and paid only a portion of the cost of the prosthesis for the other plaintiff. The plaintiffs are seeking to turn the lawsuit into a class action in order to help the other customers of Blue Shield who have had their claims for prostheses denied by the company. The lawsuit is seeking …

Late last year, three insurance companies operating in California were sued for their failure to cover certain types of artificial limbs. The three insurance companies are Blue Shield, Anthem, and United Healthcare. According to the lawsuits, the three companies all have improperly denied claims for microprocessor-controlled lower limbs for customers who are suffering from limb loss. The lawsuits are all different, but all allege that the insurance companies regularly deny coverage for some artificial limbs for their customers. The insurance companies often refuse to pay for microprocessor-controlled limbs, and instead only pay for body-powered artificial limbs. Microprocessor-controlled limbs use computer …

A California man has sued United Healthcare on behalf of himself and other individuals suffering from limb loss, for its failure to provide him with the proper artificial limb. He claims that United improperly failed to assess his needs or provide any reasons for denying him with the leg. The man suffered severe injuries in an accident in 2017. As a result, he had a below-the-knee amputation of his left leg. At the time of the accident, he had insurance through United due to a policy issued to his wife’s employer. He maintained an active lifestyle that included jogging, hiking, …

The Anthem insurance company has been sued by two individuals who have suffered from limb loss. The plaintiffs are claiming that the company failed to properly pay for their prosthetic limbs. The plaintiffs are seeking other individuals with similar claims against the company in order to certify the case as a class action lawsuit. The lawsuit claims that the company denies requests for microprocessor-controlled knee prostheses based on erroneous criteria. The lawsuit claims that Anthem deems those prostheses as not medically necessary unless all four of the following criteria are met: The individual has adequate cardiovascular reserve and cognitive learning …

Last year, Blue Shield of California was sued for violating California’s Business and Professions Code section 17200, also known as the Unfair Competition Law. The lawsuit arose from the company’s failure to provide some of its customers suffering from limb loss with certain types of protheses. According to the lawsuit, Blue Shield has repeatedly failed to provide coverage for microprocessor-controlled prostheses. The lawsuit claims that the company breached California’s Unfair Competition Law in several ways: (1) the company had a systematic and repeated breach of the terms of its insurance policies by refusing to provide payment for microprocessor-controlled prostheses because …

Last year, United Healthcare was sued by two of its customers suffering from limb loss. The company refused to pay for microprocessor-controlled prosthetic limbs. The company refuses coverage based on its internal policies. According to United Healthcare’s policies, if more than one prosthetic device can meet a customer’s functional needs, benefits are only available for the prosthetic device that meets the minimum specifications for the member’s needs. For many amputees, a microprocessor-controlled prosthesis is the best device that will meet their needs, but a body-powered prosthesis is much cheaper. United Healthcare’s position is that if more than one prosthetic device …

Two members of Blue Shield of California’s insurance plan have sued the company. In their lawsuit, among other claims, they claim that the company fails to properly compensate out-of-network prosthetists for leg components. This has resulted in some individuals suffering from limb loss in being forced to pay out of pocket for some prostheses. According to the lawsuit, Blue Shield of California has implicitly promised to its customers that it would provide an adequate network of prosthetists from which its customers could choose. However, the lawsuit claims that prosthetists are not properly paid for prosthetic leg components. This has resulted …

Last year, three large insurers in California were sued by customers who suffered from limb loss. The three insurers are Anthem, Blue Shield, and United Healthcare. The insurers were all sued because of their failure to provide their customers with microprocessor-controlled lower limb prostheses. Microprocessor-controlled lower limbs are prostheses that use computer components to power artificial knees and feet in these devices. The devices more closely resemble the movements or real legs with feet and knee components that can react in real time to stimuli and can adjust to terrain and minimize stumbles and falls. Although the three lawsuits were …

Anthem, the health insurance company, was sued last year on the basis of its failure to provide coverage for microprocessor-controlled foot-ankle prostheses. The lawsuit was initiated by two Anthem customers suffering from limb loss whose limbs were denied on the basis that the prostheses were “not medically necessary for all indications.” One of the Anthem customers who sued the company lost his leg in an accident. At the time of the accident, he had an active lifestyle that included hiking, jogging, and mountain biking. Prosthetists recommended that he receive a below-the-knee device that included a Trans-tibial High-Fidelity Interface prosthesis. The …