Who’s Affected
A class action lawsuit investigation has been launched into claims that Kaiser Permanente may be denying coverage for medically necessary procedures such as excess skin removal surgery.
Insurance companies are legally required to act in good faith and practice fair procedures when processing claims. However, some California health insurers may deny valid insurance claims or offer to pay far less than the claim is worth in an effort to increase profits.
If this happens, you have the right to hold your insurer responsible by filing a bad faith insurance lawsuit.
Some of the most commonly denied claims involve procedures that agents wrongly classify as cosmetic surgery procedures. However, skin removal surgery can be medically necessary if the patient is suffering from problems that affect their daily life, including but not limited to:
- Excess skin or loose skin after weight loss;
- Deformities following a botched breast lift or boob job;
- The inability to see after age causes drooping eyelids; and more.
If you’re a California resident and believe that Kaiser Permanente Insurance breached its contract by failing to cover one of the following types of excess skin removal surgery procedures, you may have a legal claim:
- Tummy Tuck
- Body Lift
- Breast Lift
- Boob Job – Reconstructive Breast Surgery
- Eyelid Lift
- Circumferential Body Lift
- Arm Lift
- Leg Lift
- Buttock Lift
- Complete Lower Body Lift
- Abdominoplasty
- Panniculectomy
- Other medically necessary plastic surgery
Fill out the form on this page to join a FREE Kaiser class action lawsuit investigation.
What is Insurance Bad Faith?
An insurance company commits bad faith when it unreasonably handles your insurance claim. Some examples of insurance bad faith in California include:
• Unreasonable denial of a covered insurance claim
• Underpaying an insurance claim
• Unreasonable delay in paying an insurance claim
• Refusing to authorize medical treatment that is reasonable and necessary
• Misleading a claimant about the legal deadline for filing a medical claim or a bad faith lawsuit
California Tummy Tuck Cost and Bad Faith Denial
California is one of the top states for bariatric surgery, the umbrella term for weight loss surgery procedures like gastric bypass surgery, gastric band surgery, lap band surgery, sleeve gastrectomy surgery, and duodenal switch surgery. Close to 13,000 bariatric surgery procedures are performed in California each year – the most of any state in the country. California is also the most expensive state for bariatric surgery with an average cost of $57,280 per patient.
Insurance often covers the cost of bariatric surgery when the patient is considered obese. This is a godsend for those who can’t afford to pay the average price of bariatric surgery in California. Unfortunately, many patients don’t realize that insurance typically doesn’t cover a common side effect of weight loss surgery: excess skin.
Excess skin after weight loss can be a major problem for patients, both physically and emotionally. Although it can seem purely cosmetic, excess skin can actually diminish the quality of life for a patient by causing infections, rashes and back problems. Saggy skin can also get in the way of the patient exercising, which is a key factor in keeping the weight off after gastric bypass surgery.
Tummy tuck prices average $5,241 across the country — but can be much higher in California. Many patients can’t afford tummy tuck prices in California without the help of insurance companies such as Kaiser Permanente.
Types of Body Contouring Surgery Covered by Insurance
Body contouring after major weight loss improves the shape and tone of the underlying tissue that supports fat and skin, and removes excess sagging skin and fat. Surgical body contouring is often necessary for patients who experience extreme weight loss, typically after weight loss surgery, and they are unable to tighten saggy skin through diet and exercise.
The most common types of body contouring surgery are tummy tuck, body lift, abdominoplasty, panniculectomy, breast lift, reconstructive breast surgery, eyelid lift, and other types of plastic surgery for excess skin removal.
Getting rid of loose skin often necessitates costly and painful skin removal surgery – plastic surgery that California insurance companies rarely cover. This can be frustrating to patients who were approved for bariatric surgery but are denied coverage for a procedure to correct problems caused by the approved surgery. Receiving an insurance denial letter doesn’t mean the end of the road, however.
Health insurance denial of tummy tuck cost and body lift surgery may constitute insurance bad faith — a legal term used to describe an insurer’s breach of contract by unreasonably withholding benefits.
California patients who were denied Kaiser coverage for excess skin removal surgery may be able to take legal action through a free Kaiser class action lawsuit investigation. Submit your information NOW using the form on this page.
Get Help – It’s Free
Join a Free Kaiser Class Action Lawsuit Investigation
If you qualify, an attorney will contact you to discuss the details of your potential case at no charge to you.
- First Name*
- Last Name*
- Street Address*
- Apt. #
- City*
- State*
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific
- Zip Code*
- Phone*
- Email*
- Are you a California resident? If the answer is no, STOP — you do not qualify for this investigation.*
YesNo
- Please check the skin removal surgery that your health insurance refused to cover or reimburse you for (check all that apply):*
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Tummy Tuck
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Body Contouring
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Breast Lift
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Reconstructive Breast Surgery
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Eyelid Lift
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Body Lift
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Circumferential Body Lift
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Leg Lift
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Arm Lift
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Buttock Lift
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Abdominoplasty
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Panniculectomy
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Other (please list in the “additional information” box below)
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- Please select the health insurance provider that refused to cover your tummy tuck cost or other surgery claim:*
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Kaiser Permanente
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Aetna
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Anthem Blue Cross
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Blue Cross of California
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Blue Shield of California
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Cigna
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Health Net
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Humana
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United Health
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WellPoint
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Other (please list in the “Additional Information” box below.)
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- ¿Necesita un orador español?
- Yes
- No
- Please enter any additional information you would like the staff reviewing your submission to know. Remember, the more detailed your complaint, the more likely you will be contacted for a free case evaluation.*
- I understand and agree that submitting this form does not create an attorney-client relationship and that the information I submit is not confidential or privileged and may be shared.*
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Yes
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In general, bad faith insurance lawsuits are filed individually by each plaintiff and are not class actions. After you fill out the form, the attorneys who work with Top Class Actions will contact you if you qualify to let you know if an individual lawsuit or class action lawsuit is best for you.
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