A lawsuit that was filed late last year on behalf of two individuals suffering from limb loss claims that United Healthcare, an insurance company, violated federal law by refusing to pay for some prosthetic limbs. The lawsuit is seeking to be certified as a class action.
The lawsuit alleges that United systematically refused all requests for some prosthetic limbs without any investigation into those requests. Instead, the company simply issued blanket denials without assessing the member’s needs or whether the requested device was necessary.
The lawsuit alleges that the company violated federal law because it acts as a federal fiduciary in administering claims, and it has allegedly wrongfully administered those claims. The lawsuit also claims that the company violated federal law by failing to establish and maintain reasonable claims procedures, and by failing to properly advise claimants regarding why some of their claims were denied.
This lawsuit is only one of several which have been filed against insurance companies in recent months for their failure to pay for prosthetic limbs. If you or a loved one has had your request for a prosthetic limb denied by your insurance company, and you believe that denial was in violation of the policy, call me, Conal Doyle, California amputation attorney, at 310-385-0567. I am currently working on several lawsuits against insurance companies, and I am happy to speak with you about your situation. Call today to learn more or to schedule a free consultation.