A lawsuit was recently filed against Anthem, a health insurance company that operates in several states. The lawsuit was filed by two customers of Anthem who have suffered from limb loss. The lawsuit alleges that Anthem did not properly cover the customers’ artificial limbs.
The lawsuit alleges specifically that Anthem refuses to pay for microprocessor-controlled knees. Microprocessor-controlled knees feature a microprocessor, sensors, software, a resistance system, and a battery. The knee also has internal fluid. The microprocessor monitors each phase of a person’s gait cycle using a series of sensors, which detect and monitor changes in the environment. Based on the feedback, the microprocessor adjusts resistance to the knee, which enhances stability and security, decreases the number of stumbles and falls, and provides improved ambulation.
The lawsuit alleges that microprocessor-controlled knees are now considered standard in the industry. They are used primarily for normal activities of daily living and are necessary for amputees of almost every demographic. However, Anthem has ignored medical studies and claims that the knees are considered investigational and not medically necessary.
Lawsuits are ongoing against Anthem as well as other insurance companies which have failed to provide their customers with the proper artificial limbs. If you suffer from limb loss and your insurance company has refused to pay for your artificial limb, call me, Conal Doyle, Los Angeles personal injury attorney at 310-651-8272. I can help. Call today to learn more or to schedule a free consultation.