Medical Savings Insurance Company’s Failure to Pay Health Insurance Benefits
Individual certificate/policy holders of Medical Savings Insurance Company (“MSIC”) seek to recover health benefits in the form of charges for health care services and supplies rendered to patients insured by MSIC from 2001 through the present who incurred charges as a result of the insurer’s claims practice of denying payment for covered expenses, allegedly, in violation of the insurance contracts. There is one main common issue in this case, and it is the same for every patient account or billing included in the Class Damages – i.e., can MSIC ignore the methodology required by its own insurance contract for paying medical providers’ “reasonable and customary charges,” and unilaterally and arbitrarily substitute its own undisclosed Medicare-based methodology.
Feel free to review our Amended Complaint for further insight on this continuing litigation. If you have been injured by Medical Savings Insurance Company, or any other insurance company’s claims practices, feel free to call us for information about how to protect your rights. The Statute of Limitations will vary from state to state so do not delay.
Pertinent Pleadings and Orders:
First Amended Class Action Complaint
Opposition to Defendant's Motion to Dismiss Class Action Complaint or Alternatively, to Strike