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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
Published directory
5 published records
Aetna Insurance Settlement
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.
Aetna infertility treatments
This settlement, Goidel et al. v. Aetna Life Insurance Company, Case No. 1:21-cv-07619 (VSB), covers Aetna members in LGBTQ+ relationships whose claims or precertification requests for artificial insemination (ICI/IUI) or IVF codes were denied between September 1, 2017, and May 31, 2024. Category A members get an automatic Default Common Fund Amount of about $10,000 (less if over 200 class members, from a $2,000,000 fund) plus a $2,300 Dollars for Benefits payment — about $12,300 total. Other categories must file forms by August 26, 2025, the same deadline to exclude yourself or object.
Aetna Insurance Settlement
Sharon Prolow and Mark Lemmerman v. Aetna Life Insurance Company, Case No. 9:20-cv-80545 (S.D. Fla.), covers ERISA health plan members whose proton beam therapy (PBT) claims for localized prostate cancer were denied by Aetna between January 1, 2015, and March 31, 2024. Submitting a Settlement Claim Form is the only way to get paid: a complete, timely form gets you $12,000, and proof that your PBT costs or debt topped $12,000 can raise that to as much as $48,000, from the $3.423 million Settlement Fund. Forms are due October 3, 2025.
Aetna Settlement
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 September 29, 2026.
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