Tags: doctors | aetna | sue | coverage

California Doctors Sue Aetna for Coverage Denials

Tuesday, 03 Jul 2012 03:34 PM

 

Share:
  Comment  |
   Contact Us  |
  Print  
|  A   A  
  Copy Shortlink

Thousands of doctors in California are suing the health insurance company Aetna Inc claiming the company routinely denies patients access to out-of-network doctors even when the patient has purchased a policy giving them the right to choose providers.

The lawsuit, filed in the Los Angeles County Superior Court, accuses Aetna of threatening patients with denial of coverage if their members visit doctors outside the Aetna network of providers, and of threatening doctors with having their Aetna contracts terminated if they refer patients outside the network.

The lawsuit was brought by the Los Angeles County Medical Association, California Medical Association and a coalition of health care organizations and providers.

It follows a lawsuit filed earlier this year by Aetna against several California facilities, including Bay Area Surgical Management (BASM)and seven ancillary facilities, claiming their physicians sent Aetna members to BASM without revealing that they had an ownership interest in the facility or were getting paid by BASM for their referrals.

"We have sued some of these same doctors and surgery centers named in the suit for their egregious billing practices in February of this year," Cynthia Michener, a spokeswoman for Aetna, said in an email. "This is a countersuit disguised as a class action lawsuit."

© 2014 Thomson/Reuters. All rights reserved.

Share:
  Comment  |
   Contact Us  |
  Print  
  Copy Shortlink
Around the Web
Join the Newsmax Community
Please review Community Guidelines before posting a comment.
>> Register to share your comments with the community.
>> Login if you are already a member.
blog comments powered by Disqus
 
Email:
Country
Zip Code:
Privacy: We never share your email.
 
Hot Topics
Follow Newsmax
Like us
on Facebook
Follow us
on Twitter
Add us
on Google Plus
Around the Web
Top Stories
You May Also Like

Mack McLarty: Obama Can Salvage Final Years in Office

Tuesday, 21 Oct 2014 13:32 PM

President Obama could accomplish much in his final two years in office despite widespread doubts and discontent about hi . . .

Sen. Leahy Urges Comcast to Extend Net Neutrality Pledge

Tuesday, 21 Oct 2014 12:40 PM

Vermont Sen. Patrick Leahy, the chairman of the Judiciary Committee, has called on Comcast to extend its net neutrality  . . .

WH Spokesman: Staff Helped Obama 'Evolve' on Gay Marriage

Tuesday, 21 Oct 2014 12:26 PM

President Barack Obama evolved on the issue of same sex marriage, and his views were in keeping with the way many Americ . . .

Most Commented

Newsmax, Moneynews, Newsmax Health, and Independent. American. are registered trademarks of Newsmax Media, Inc. Newsmax TV, and Newsmax World are trademarks of Newsmax Media, Inc.

 
NEWSMAX.COM
America's News Page
©  Newsmax Media, Inc.
All Rights Reserved