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.
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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