Department of Managed Healthcare Issues Report on Anthem Blue Cross Narrow Networks: Validates Our Class Action
On November 18, 2014, the California Department of Managed Healthcare (“DMHC”), the California regulatory body that regulates health plans, issued a report concerning Anthem Blue Cross dba Blue Cross of California (“Anthem”). This report was prompted by the DMHC’s concerns regarding the accuracy of Anthem’s provider directory, the directory that Anthem customers and potential customers use to determine which providers are in Anthem’s networks. In June 2014, the DMHC began a survey of the Anthem provider directory.
The DMHC learned from the survey that a substantial number of the doctors in Anthem’s directory did not practice at the locations provided and a many of the doctors in the directory did not accept Anthem health insurance. The DMHC also found that Anthem failed to adequately comply with its provider list reporting obligations to the DMHC.
These findings comport with the allegations of the class action recently brought by Scott Glovsky against Anthem (Cowart v. Anthem Blue Cross) and the dozens of individual cases that Scott has brought on behalf of Anthem members. In these lawsuits, the plaintiffs allege that Anthem misrepresented their plans by enrolling members in EPO plans when Anthem led them to believe that they would be enrolled in a PPO plan. Plaintiffs also allege that Anthem misrepresented the providers in their network inducing the members to enroll in plans and inducing the members to unknowingly seek services from providers that were out of their network. The DMHC’s findings support the complaints from the numerous victims whom Anthem misled into purchasing plans that they could not use and seeking services from doctors for whose services Anthem would not provide coverage.
If you or anyone that you know has suffered as a result of Anthem’s misleading conduct then contact the Law Offices of Scott Glovsky for a free consultation.