Health insurance company agrees to pay $12.8 million in settlement — how to claim
Elevance Health (formerly Anthem) will pay $12.8 million to settle a lawsuit over denied residential treatment claims, with eligible customers able to file claims until January 20, 2026.Summary
Elevance Health, formerly known as Anthem, has reached a $12.875 million settlement in a class action lawsuit alleging the company improperly denied coverage for residential treatment services for mental health and substance use disorders. Plaintiffs claimed Anthem used overly restrictive criteria when determining medical necessity. While the company denies wrongdoing, it agreed to the settlement to avoid further litigation. The final approval hearing is scheduled for January 26, 2026.
Customers who had claims for residential treatment denied between April 29, 2017, and April 30, 2025, are eligible to file a claim and may receive a proportional share of the reimbursement fund or a minimum payment of $100. To claim, individuals must provide documentation of out-of-pocket payments made within 14 days of a qualifying denial.
The deadline to submit a claim is January 20, 2026. Class members who do not opt out will automatically receive a nominal payment and waive their right to individually sue Anthem regarding the issues addressed in the lawsuit. More information and the claim form are available on the settlement website.
(Source：Daily Express Us)