According to a lawsuit filed late last year, Blue Shield of California is wrongfully maintaining an inadequate network of prosthetists. The lawsuit is seeking compensation from the company for its wrongful actions.
Two individuals who suffered from lower limb loss who were customers of Blue Shield of California sued the company. According to Blue Shield’s written policies, the Blue Shield health plan is designed for its members to obtain services from participating providers. If a member chooses to get medical services from non-participating providers, the member will typically have a higher out-of-pocket expense.
The lawsuit claims that implicit in the written policies is a promise that Blue Shield will develop a fully formed network of providers, which will allow a member to receive the primary benefit of the contract to receive services from an in-network provider. However, according to the lawsuit, Blue Shield offers extremely low reimbursement rates to out-of-network prosthetists. Therefore, members with limb loss are forced to seek the services of out-of-network providers, which leaves them with large balances owed.
The lawsuit is seeking other individuals who have suffered limb loss who are covered by Blue Shield and have had to seek the services of out-of-network prosthetists, which resulted in financial hardship. If that applies to you, call me, Conal Doyle, Los Angeles personal injury attorney, at 310-385-0567. Call today to learn more or to schedule a free consultation.