News Headlines Article

Blue Shield Sued Over Surgery Coverage Denials
Law 360

Blue Shield of California was hit with a putative class action Thursday in California state court by a group of insureds who claim it has unlawfully refused to cover reconstructive surgeries that restore patients to a “normal appearance.”

Named plaintiffs Sabra Akmal and Deborah Portillo allege Blue Shield has violated California’s Unfair Competition Law by failing to comply with a state law requiring health insurance providers to cover reconstructive surgery where the procedure would resolve a functional problem or create a normal appearance.