Anthem Residential Treatment Coverage Denial Settlement
Amount depends on how many class members submit claims and will likely not be full reimbursement of out-of-pocket expenses. Class members who do not submit claims receive a nominal payment.
This settlement is closed to new claims — the deadline was January 20, 2026. You can still see what it was about and follow the case in court below. Looking for money you can still claim? Browse open settlements →
What happened
Anthem denied claims for residential treatment coverage for mental health conditions and substance use disorders, allegedly using medical necessity criteria that were more restrictive than accepted standards of care and the terms of health benefit plans. Anthem denies the allegations but settled to avoid litigation costs and uncertainty.
Do you qualify?
Anyone whose claim for residential treatment coverage for mental health conditions or substance use disorders was denied by Anthem, Inc. or Anthem UM Services, Inc. between April 29, 2017, and April 30, 2025.
How to file
Submit a claim form with proof of out-of-pocket payment for residential treatment services electronically or postmarked no later than January 20, 2026. You can also remain in the class without submitting a claim to receive a nominal payment.
Common questions
- How much does the Anthem Residential Treatment Coverage Denial Settlement pay?
- Estimated payout: Amount depends on how many class members submit claims and will likely not be full reimbursement of out-of-pocket expenses. Class members who do not submit claims receive a nominal payment.. 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 Residential Treatment Coverage Denial Settlement?
- This settlement is closed to new claims — the deadline was January 20, 2026. Once a claim deadline passes you generally forfeit your share, even if you qualified.
- Do I need proof of purchase for the Anthem Residential Treatment Coverage Denial 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 Residential Treatment Coverage Denial Settlement notice real, or a scam?
- Settlement Administrator is the settlement administrator for this case. Claims are filed at anthem-rtc-criteria-settlement.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.
- When will payments from the Anthem Residential Treatment Coverage Denial Settlement be sent?
- Class action payouts typically take 12 to 24 months after the claim deadline, and longer if the settlement is appealed. The final approval hearing for this case is set for January 26, 2026; no payments can be issued before a settlement receives final approval.
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.
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