UNITED STATES DISTRICT COURT<\/strong> If you had a pre-authorization request or post-service claim for lipedema surgery denied by Aetna, you could receive benefits from a class action settlement.<\/strong><\/p>\n Aetna has changed its clinical policy bulletin regarding liposuction to treat lipedema (\u201cLipedema Surgery\u201d).<\/p>\n<\/li>\n Effective September 1, 2020, Aetna revised its \u201ccosmetic\u201d coverage position with respect to suction lipectomy. Aetna\u2019s coverage position now explains when liposuction is medically necessary to treat lipedema, and when Aetna will cover Lipedema Surgery.<\/p>\n<\/li>\n Persons who paid out-of-pocket for Lipedema Surgery after cosmetic, experimental or investigational denial between May 9, 2015, and September 1, 2020, are eligible for reimbursement under a settlement agreement with Aetna, for surgeries that took place prior to September 1, 2022.<\/p>\n<\/li>\n Persons who were denied Lipedema Surgery by Aetna during the same time period, but have not yet undergone the surgery, and are Aetna members, are hereby notified that they can submit new coverage requests for Lipedema Surgery. Aetna will review those requests in accordance with criteria in the new coverage policy bulletin.<\/p>\n<\/li>\n Court-appointed lawyers for the class of Aetna members will ask the Court for up to $675,000.00 in attorney\u2019s fees and $46,162.84 in expenses to be paid separately by Aetna for investigating the facts, litigating the case, and negotiating the Settlement.<\/p>\n<\/li>\n Your legal rights are affected whether you act or don\u2019t act. Read the Notice carefully.<\/p>\n<\/li>\n<\/ul>\n\n\n
NORTHERN DISTRICT OF CALIFORNIA<\/strong>
Case No. 3:19-cv-02512-WHO<\/strong><\/p>\n\n