Class action trial over insurance coverage for post-surgical excess skin removal begins!

Kathy S.
on 3/18/15 6:26 am - InTheBurbs, XX
RNY on 08/29/04 with

This will be a good one to watch and see how it impacts our community.

It will come down to the interpretation of "return a patient’s body to a “normal appearance after disfigurement due to disease or trauma."           

HW:330 - GW:150 - MW:118-125

RW:190 - CW:130

MsBatt
on 3/19/15 9:56 am

This only applies to California.

California already has some laws in place that mandate reconstructive surgery, including some procedures that insurance companies want to call cosmetic, when such procedures would "improve function or restore normal appearance, so much as possible." Kaiser, and probably a few others, have been routinely denying such procedures. This is just an attempt to get the courts to force them to comply with an already-existing law they've been flouting. It will most likely have ZERO impact on the rest of the country.

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