They’re back in court! Anthem Blue Cross is now being sued by customers in a class action lawsuit.
This is the kind of ethics they have.
They sold individual PPO policies, which offers the patient to go to a “out of network physician” and have the insurance company still make a payment on their behalf. This obviously lessons the financial responsibility to the subscriber. Why would a subscriber want to go to an out of network physician? Well if they had a particular rare disease or syndrome that treating physician, the specialist, might not take the insurance.
So the individual policies that were purchased in 2016 as PPO policies continued into 2017 except the insurance company, without notification, changed the policy from a PPO to an EPO. The EPO policies do not make payments on the patient’s behalf to an out of network physician, placing a large financial load on the subscriber.
Oh I almost forgot, they raised the premium of the EPO policies… Nice!