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Aetna settlements
Aetna has 3 verified class action settlements tracked on SettleSignal, addressing fertility treatment denials for LGBTQ+ members, lumbar artificial disc replacement surgery coverage denials, and an overcharge dispute involving Optum admin fees in several states. The L-ADR surgery settlement is notable: eligible members who had a single-level lumbar surgery denied between August 7, 2016 and February 8, 2023 may be eligible for up to $55,000 in out-of-pocket reimbursement, with a claim deadline of December 9, 2026 and an official claim form requiring supporting documentation.
- up to $55,000 potential payment
- 2 need no receipt to file
- Free file on the official form
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5 verified records
Peters v Aetna, Inc., et al.
If you had Aetna insurance in NC, SC, GA, VA, IL, IN, or DC and paid coinsurance for chiropractic or physical therapy through an Optum provider between July 12, 2012 and the settlement's effective date, you're likely in this class. The deadline to submit documentation for claims after December 31, 2017 was July 10, 2025. For claims before 2018, Aetna's records are used automatically, so no paperwork is needed on your end.
Kazda v Aetna
If Aetna denied your lipedema surgery claim as cosmetic or experimental years ago, you may be able to claim reimbursement for what you paid out of pocket under this court-approved settlement.
Aetna L-ADR Surgery Denial Settlement
If Aetna denied your single-level lumbar artificial disc replacement (L-ADR) surgery between 2016 and 2023, you could get up to $55,000 back for what you paid out of pocket. You need to file a claim by December 9, 2026.
Aetna infertility treatments
If Aetna denied your claim or precertification for artificial insemination or IVF between September 1, 2017, and May 31, 2024, and you were in an LGBTQ+ relationship, you're likely covered by this settlement. The claim filing deadline is August 26, 2025, so don't wait.
Sharon Prolow and Mark Lemmerman v. Aetna Life Insurance Company
You may be eligible if you were a member, participant, and/or beneficiary of an ERISA-governed employee welfare benefit plan administered and/or insured by Aetna and, between January 1, 2015, and March 31, 2024, received denials of all precertification requests and post-service claims for proton beam therapy (PBT) to treat localized prostate cancer (or were approved for precertification but had all post-service PBT claims denied).
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