The Aetna proton beam therapy class action settlement benefits members, participants and beneficiaries of ERISA-governed employee welfare benefit plans administered and/or insured by Aetna who were diagnosed with localized prostate cancer, submitted a precertification request for proton beam therapy (PBT) prior to the date of service and received a precertification denial between Jan. 1, 2015, and March 31, 2024, that cites “experimental,” “investigational,” “unproven,” “superior,” “superiority” and/or “more effective” as the basis for the denial.

File a Claim

Deadline to file a claim: 10/03/2025
Proof of Purchase Required: Yes
Potential Individual Reward: Up to $48,000
Total Settlement Amount: $3.42 million
Nationwide

Edited by: Top class Actions | August 15, 2025

Category: Legal News

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Doctor shows information: proton therapy — (Photo Credit: wophovid.com/Shutterstock)

Aetna agreed to a $3.42 million class action lawsuit settlement to resolve claims it wrongfully denied proton beam therapy (PBT) claims for prostate cancer treatment.

The Aetna proton beam therapy class action settlement benefits members, participants and beneficiaries of employee welfare benefit plans governed by the Employee Retirement Income Security Act (ERISA) and administered or insured by Aetna. Eligible individuals must have been diagnosed with localized prostate cancer, submitted a precertification request for proton beam therapy prior to the date of service and received a precertification denial between Jan. 1, 2015, and March 31, 2024, citing “experimental,” “investigational,” “unproven,” “superior,” “superiority” and/or “more effective” as the basis for the denial.

The Aetna settlement also benefits Aetna plan members who had an initially approved precertification request for PBT, received PBT for the same diagnosis code with no allowed post-service PBT benefit claims and received a denial for a post-service claim between Jan. 1, 2015, and March 31, 2024, that cites “experimental,” “investigational,” “unproven,” “superior,” “superiority” and/or “more effective” as the basis for the denial.

According to the proton beam therapy lawsuit, Aetna denied precertification requests and post-service benefit claims for proton beam therapy to treat localized prostate cancer. The plaintiff in the case argued that Aetna’s denials violated the ERISA.

Aetna is a health insurance company that offers a variety of plans to individuals, families and employers.

Aetna has not admitted any wrongdoing but agreed to a $3.42 million class action settlement to resolve the allegations.

Under the terms of the Aetna settlement, class members can receive a flat payment of $12,000.

Class members who submit proof of payment and/or proof of indebtedness for proton beam therapy treatment can receive up to $48,000.

The deadline for exclusion and objection is Oct. 3, 2025.

The final approval hearing for the Aetna settlement is scheduled for Nov. 18, 2025.

To receive settlement benefits, class members must submit a valid claim form by Oct. 3, 2025.

Who’s Eligible

The settlement benefits individuals who were diagnosed with localized prostate cancer and who were members, participants and beneficiaries of ERISA-governed employee welfare benefit plans administered or insured by Aetna between Jan. 1, 2015, and March 31, 2024, who:

Submitted a precertification request for proton beam therapy prior to the date of service and received a precertification denial for the administration of PBT between Jan. 1, 2015, and March 31, 2024.
Submitted a PBT precertification request prior to the date of service that was initially approved and received a denial between Jan. 1, 2015, and March 31, 2024, for post-service claims for the delivery of PBT.

Potential Award

Up to $48,000

Proof of Purchase

Proof of payment and/or proof of indebtedness for PBT treatment.

Claim Form

CLICK HERE TO FILE A CLAIM »

NOTE: If you do not qualify for this settlement do NOT file a claim.

Remember: you are submitting your claim under penalty of perjury. You are also harming other eligible Class Members by submitting a fraudulent claim. If you’re unsure if you qualify, please read the FAQ section of the Settlement Administrator’s website to ensure you meet all standards (Top Class Actions is not a Settlement Administrator). If you don’t qualify for this settlement, check out our database of other open class action settlements you may be eligible for.