Aetna Life Insurance - Lumbar Artificial Disc Replacement Class Action Settlement
Aetna denied coverage for single-level lumbar artificial disc replacement surgeries between August 2016 and February 2023. Eligible class members, who had claims denied as "experimental," can receive up to $55,000 for past out-of-pocket costs or a guaranteed coverage override for future surgeries.
Payout amount
Up to $55,000
Deadline to claim
Expired
Eligibility
You may qualify if: • Must be a member of an ERISA-governed health plan insured or administered by Aetna Life Insurance Company. • Submitted a pre-certification request or a post-service claim for a single-level lumbar artificial disc replacement surgery. • Received a categorical coverage denial from Aetna on the grounds that the procedure was "experimental or investigational". • The coverage denial must have occurred within the specified timeframe established by the consolidated class actions.
