Anthem Grandfathered Rx Settlement
Up to $8,850
What happened
Anthem denied coverage for brand name (single source) prescription drugs and/or applied a deductible to these drugs under certain grandfathered health plans, resulting in out-of-pocket expenses for members and charging some members an $8,850 deductible. The California Department of Insurance required Anthem to settle this matter.
Do you qualify?
Anyone who was covered under Anthem's Core 5000, Tonik DN14, Tonik DN15, or RightPlan (with generic prescription drug coverage) and paid out of pocket for a brand name (single source) prescription drug between January 1, 2017 and May 8, 2026, when the drug would have been covered under the plan if not for its brand name status. Also eligible are members required to pay the $8,850 deductible for brand name drug coverage.
How to file
Submit a completed claim form with all required supporting documentation postmarked no later than November 10, 2026. Review the eligibility requirements and documentation checklist from the Notice and Claim Form package mailed on May 8, 2026. Members charged the $8,850 deductible do not need to submit a claim form and will receive automatic refunds mailed on May 22, 2026.
Common questions
- How much does the Anthem Grandfathered Rx Settlement pay?
- Estimated payout: Up to $8,850. Actual amounts depend on how many valid claims are filed — most settlements divide a fixed fund pro rata, so a higher claim rate means a smaller individual check. An "up to" figure is a cap, not a guarantee.
- What is the claim deadline for the Anthem Grandfathered Rx Settlement?
- The claim deadline is November 10, 2026. Filing is free and is done on the official settlement website at grandfatheredrxsettlement.com.
- Do I need proof of purchase for the Anthem Grandfathered Rx Settlement?
- Yes. This settlement asks for documentation supporting your claim — a receipt, an account record, or the notice you were sent. Check the official settlement website for exactly which documents are accepted.
- Is the Anthem Grandfathered Rx Settlement notice real, or a scam?
- Claims are filed at grandfatheredrxsettlement.com. Filing a class action claim is always free — no legitimate settlement charges you to claim, and no administrator will ask for payment, a gift card, or your full Social Security number by email or text. If a notice asks for any of those, it is not from the administrator. When in doubt, ignore the link you were sent and go to the official settlement website directly.
- How long until I get paid from the Anthem Grandfathered Rx Settlement?
- Class action payouts typically take 12 to 24 months after the claim deadline, and longer if the settlement is appealed. Payments cannot be issued until the court grants final approval and any appeals are resolved.
- What happens if I do nothing?
- You receive no payment, and in most class actions you also give up the right to sue Anthem separately over these same claims.
New to class actions?
This summary was generated from public settlement documents and may contain errors. Confirm eligibility, deadlines, and payment terms on the official settlement website before filing. ClaimWatch is not a law firm and this is not legal advice. Filing a claim is free.