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 they were “investigational”; (2) the company breached its policies in bad faith by ignoring scientific evidence that microprocessor-controlled foot prostheses are not “investigational”; (3) the company breached its policies by underpaying out-of-network prosthetists for prosthetic legs; (4) the company performed other unfair acts of which the plaintiffs are unaware.
If you have had your claim for a prosthetic limb denied by Blue Shield or another insurance company, call me, Conal Doyle, at 310-385-0567. I am working on several class action lawsuits against insurance companies for their failures to pay for prosthetic limbs. Call to learn more or to schedule a free consultation on your case.