Anthem agrees to $12.8M settlement in class action lawsuit: How to claim your share before Jan. 20 deadline
Anthem will pay $12.875 million in a settlement to customers whose mental health or substance use disorder claims were denied.Summary
Anthem has reached a $12.875 million settlement in a class action lawsuit concerning the denial of coverage for residential mental health and substance use disorder treatment. Individuals who had claims denied between April 29, 2017, and April 30, 2025, may be eligible for a share of the settlement if they submit documentation and a claim by January 20th. The lawsuit alleged that Anthem used overly restrictive criteria when evaluating the medical necessity of residential treatment. While Anthem denies the claims, they entered the settlement to avoid further litigation. Claimants may receive a pro rata share of the reimbursement fund or a minimum payment of $100.00, depending on the number of valid claims submitted. A Fairness Hearing is scheduled for January 26th to finalize the settlement.
(Source：New York Post)