LADR Surgery Settlement
Up to $55,000
What happened
Aetna Life Insurance Company denied coverage for single-level lumbar artificial disc replacement (L-ADR) surgeries, claiming they were experimental or investigational. The settlement requires Aetna to reconsider coverage decisions and provide relief to members who were wrongly denied.
Do you qualify?
Members of ERISA-governed health plans insured or administered by Aetna who had precertification requests or post-service claims for single-level lumbar artificial disc replacement denied between August 7, 2016 (Hendricks Action) or March 4, 2019 (Howard Action) and February 8, 2023.
How to file
Submit a claim form. Those who paid out-of-pocket for the surgery can request reimbursement up to $55,000; those not yet treated can submit new coverage requests to be decided under the settlement terms; those no longer covered can request reimbursement for future surgery if not available elsewhere. Supporting documentation will be required.
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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