Out-Of-Network Substance Abuse Providers Challenge Insurer Payments

Mealey's (August 31, 2020, 1:35 PM EDT) -- LOS ANGELES — An insurer and related entities refuse to fully compensate for out-of-network substance abuse treatments, even though the plans in question call for full payment in instances where insureds exceed out-of-pocket maximums or where provider networks are inadequate, a group of consolidated plaintiffs alleges in an Aug. 26 amended complaint covering 1,306 insureds (In re: Out of network substance use disorder claims against UnitedHealthcare, No. 19-2075, C.D. Calif.)....