Firm-Wide blog

Burg Simpson Files Class Action Lawsuit On Behalf Of Ohio Ambetter Policyholders

By Burg Simpson
September 11, 2019
2 min read

Burg Simpson Files Class Action Lawsuit On Behalf Of Ohio Ambetter Policyholders

Burg Simpson has filed a class action lawsuit on behalf of Ohio consumers who purchased Ambetter insurance through the Ohio Health Insurance Exchange.  Class action lawsuits allow consumers, whose individual claims may be too small to file an individual action, to join forces in one action to seek compensation against large corporate defendants.

Despite the requirements of the Affordable Care Act, many Ambetter policyholders are reporting they are unable to find, or are having difficulty finding, medical providers that will accept Ambetter insurance.  Despite representations on Ambetter’s website that a large network of healthcare practitioners is available to provide quality care, many policyholders are learning this is not the case.  Policyholders are also becoming frustrated when claims are denied by Ambetter because a healthcare provider listed as in-network on the healthcare directory is not, in fact, in- network.

Ambetter’s Silver and Gold level health insurance plans are offered through the Health Insurance Exchange by Buckeye Health Plan, a subsidiary of the insurance provider Centene Corporation.  Centene reports that it is the nation’s largest insurer on the Health Insurance Exchange and it serves approximately 1.5 million Exchange members nationwide with its Ambetter product.

Burg Simpson   is fighting to obtain compensation on behalf Ohio Ambetter policyholders who have suffered damages due to Defendants’ inadequate network of providers, inaccurate and misleading provider directory, and denial of claims for providers listed as in-network in the directory.

For more information about the class action lawsuit, contact  one of our experience attorneys at Burg Simpson’s Cincinnati office. Call 1-800-713-9340 or fill out our contact form for a FREE no-obligation consultation today.

Free case evaluation form