Health insurer agrees to $12.8 million settlement — here’s who can claim a payment
Anthem (now Elevance Health) will pay $12.875 million to settle a lawsuit over denied residential treatment coverage between April 2017 and April 2025.Summary
Health insurer Anthem, now operating as Elevance Health, has agreed to a $12.875 million settlement in a class action lawsuit concerning the denial of coverage for residential treatment services. The lawsuit alleged that Anthem improperly denied claims by deeming the care not medically necessary, using criteria stricter than accepted standards. While Anthem denies wrongdoing, they settled to avoid further litigation costs. Customers who had claims for residential treatment—related to mental health or substance use disorders—denied between April 29, 2017, and April 30, 2025, may be eligible to file a claim and receive either a proportional share of a reimbursement fund or a minimum payment of $100, provided they can demonstrate out-of-pocket expenses within 14 days of the denial. The deadline to submit a claim is January 20, 2026. Class members who do not take action will receive a nominal payment but will forfeit their right to sue Anthem regarding this matter.
(Source：The Economic Times)