From a press release:
"A group of Wisconsin women have filed a federal class action lawsuit against six major health insurers on behalf of all chiropractic patients in the state.
The suit, filed in early July in U.S. District Court, Western District of Wisconsin, alleges the insurance providers violated state law by requiring chiropractic patients to pay a co-payment for each visit, essentially covering the cost of their own care. Since 1987, Wisconsin has required insurance companies to cover chiropractic care.
Insurance companies have set up a system where they maintain that they cover chiropractic care, but at the same time require patients to pay a co-payment that represents all or a substantial portion of the chiropractor’s charges for that visit, effectively excluding coverage by shifting the cost of the visit to the patient, said Erin Dickinson, an attorney with Hansen Riederer Dickinson Crueger LLC, Milwaukee, which is representing the plaintiffs.
“This case is a really big deal for patients,” Dickinson said. “A lot of people are loyal to their chiropractor because they don’t want to do surgery. ”
The class action complaint contends the insurance companies have been raising the co-payments for chiropractic patients, while either reducing or holding the amount they allow chiropractors to charge for their services.
UnitedHealthcare, Wisconsin Physicians Services Insurance Corp. (WPS), Humana, Anthem Blue Cross and Blue Shield of Wisconsin, Network Health Plan and Compcare Health Services were named as defendants in the lawsuit."
This suit has the potential to force Wisconsin insurers to write full copay refund checks (plus penalties equaling 1 to 3 times the refund)to everyone who has paid for chiropractic services within the last five or six years. Based on the way the law is written it has good chance at succeeding. Ultimately it could cost those insurers a couple hundred million dollars that will go back to Wisconsin policy holders.
Quite a nice little economic stimulus for the state! Put the money back in the hands of the consumers and create some demand.
Here's the legal filing (or whatever it is called):
http://www.hrdc-law.com/assets/docs/CLarson_v_UH_FC.pdf