Lawsuit Asks that Blue Shield be Ordered to Change its Prostheses Policies

According to a lawsuit filed towards the end of 2017, Blue Shield of California, a health insurance company, has been wrongfully denying coverage for some lower limb prosthetic devices for individuals suffering from limb loss. The lawsuit also alleges that Blue Shield has been restricting payment for lower limb devices, which forces members to use out-of-network prosthetists.

The lawsuit is asking that the court order Blue Shield to take five actions: (1) stop its practice of categorically denying all requests for microprocessor-controlled foot prostheses; (2) notify class members that its decision to deny requests for all microprocessor-controlled foot prostheses was wrong and requests will be re-reviewed; (3) re-review all denied requests for microprocessor-controlled foot prostheses; (4) notify class members that if they have paid out-of-pocket for denied microprocessor-controlled foot prostheses, they can submit those claims for review; and (5) review any claims received in a correct manner.

The lawsuit is also asking for financial compensation and that attorney’s fees be paid. If you have had a claim for a microprocessor-controlled foot prosthesis denied by Blue Shield, call me, Conal Doyle, Los Angeles personal injury attorney, at 310-385-0567. My team can help. You may be eligible to join the lawsuit. Call today to learn more.