Anthem Blue Cross agreed LA Times 10.27.2015 to end midyear policy changes that raise costs for consumers and to reimburse nearly $8.3 million to about 50,000 customers in California as part of a settlement of a class-action lawsuit announced Tuesday
Dave Jacobson, one of the plaintiffs, said he experienced this first-hand after he enrolled in a Blue Cross PPO Share $500 individual plan. In April 2011, he received medical services and Anthem Blue Cross acknowledged that he met his deductible and paid 70% of his bill. When he went back for follow-up tests three months later, he was told he needed to pay $50 more toward his deductible before the insurance company paid its percentage for his care.
According to the lawsuit, the midyear change to Jacobson’s yearly out-of-pocket maximum increased to $5,850 from $5,000. His annual prescription drug deductible increased to $275 from $250.
Checks will be mailed in December to 50,000 consumers, according to Consumer Watchdog, which jointly represented the plaintiffs. The average amount will be $167, although one unidentified consumer will receive $19,000 to compensate for particularly high out-of-pocket costs. Learn More LA Times 10.27.2015