Copayment litigation

By February 25, 2009Cases, Class Action

Missouri has a regulation which prohibits an HMO from charging a copayment greater than 50% for any single service.  Beginning in 2006 our law firm has filed suit against several HMO’s in the State of Missouri for violating this regulation.  Such litigation was extremely successful, reimbursing members of these HMO’s millions of dollars.  In 2007 Coventry Healthcare of Kansas, Inc. denied one of its members (Mary Casey) prescribed treatment by her doctor for her cancer.  We took on the battle of seeking a Court’s order mandating that Coventry pay for such treatment.  In the meantime, we found that Coventry had been violating the same copay regulation which also prohibits an HMO from charging both a copay and coinsurance for the same health care service.  After filing the lawsuit for Mary Casey and seeking class action status the federal court granted our request to proceed as a class and issued a summary judgment ruling in favor of the class members.  This case is set for trial in April 2011