Anthem Blue Cross Tummy Tuck Denials Lead to Class Action Lawsuit Investigation

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Blue Cross of California, also known as Anthem Blue Cross and WellPoint, has been accused of denying tummy tuck insurance coverage in bad faith. Bad faith is a legal term that means that a person or company is trying to illegally or unethically avoid a contractual obligation. In the case of an insurance claim, it usually means that an insurance company is trying to avoid paying out on a legitimate claim, since an insurance policy is a type of contract between the insurance company and the policyholder. Blue Cross tummy tuck denials have landed the company in the crosshairs of a potential class action lawsuit.

Certain medical procedures fall into a gray area of insurance law. Health insurance usually only pays for procedures that a patient needs for medical reasons. Usually, this precludes cosmetic procedures. However, under very specific circumstances, circumstances, plastic surgery may qualify as medically necessary procedures.

For example, an abdominoplasty or “tummy tuck” was originally developed as a cosmetic procedure. The procedure tightens the skin around the abdomen to improve its aesthetics. However, there are situations when this procedure is medically necessary. When some patients lose large amounts of weight, they may have sagging skin. These skin flaps can become a breeding ground for bacterial and fungal infections. These infections may cause painful, recurrent rashes. In such cases, an abdominoplasty can help a patient stop suffering from these rashes, making it a medically necessary procedure. It can be a similar situation with other plastic surgery procedures, including body contouring, face lifts, eyelid lifts, and other procedures. For example, certain neurological conditions may cause the facial skin to droop, impairing vision. In this case, a face lift may be able to help such individuals see.

Insurance companies like Blue Cross of California, Anthem Blue Cross, and WellPoint have been accused of denying insurance claims for medically-required plastic surgeries in bad faith. Allegedly, such insurance companies may have capitalized on the perception of such procedures as being “elective” or not-medically-necessary.

A class action lawsuit investigation has been launched to pursue the possibility of litigation against Blue Cross for plastic surgery denials, alleging that the company has denied claims for abdominoplasties and other medically-necessary “cosmetic” procedures. This class action lawsuit investigation is looking for individuals with claims denied in bad faith. This could include individuals with Blue Cross of California, Anthem Blue Cross, or WellPoint who had a variety of constructive surgeries, including arm/leg lifts, tummy tucks, body lifts, reconstructive breast surgery, and other medically necessary plastic surgeries.

If you or a loved one needed plastic surgery for medical reasons, and Blue Cross denied your insurance claim, you may be able to pursue legal action. But you need to act quickly to protect your rights. You can start by visiting the Insurance Denial of Plastic Surgery -Tummy Tuck Cost, Body Lift, Breast Lift, Eyelid Lift, Body Contouring Surgery – Class Action Lawsuit Investigation. Here, you can enter information about your situation for a legal review by a trained expert with a background in this type of litigation. The initial consultation is completely free of charge, and from it, you can receive free legal guidance on the best steps to take in your exact situation.