This is probably the most interesting health insurance coverage lawsuit we’ve heard about in a while:
Beth Scott was told by her doctor she needed a mammogram, a cancer screening that health insurance usually covers.
She had the mammogram in June 2010, paying $385 out of pocket. But when she submitted the claim to her insurance company, Scott was denied coverage, because Scott is transgender.
But in an appeal that lasted almost two years, the Transgender Legal Defense and Education Fund intervened and announced this week that it had resolved Scott’s claim, winning a landmark battle with Aetna.
“I am really pleased and glad it went smoothly,” said Scott, 44, who for 11 years has worked as a data integrity specialist for a high-tech company, through which she gets her insurance.
“It’s something that gives me hope — by the fact that Aetna apologized and reimbursed me,” she said. “Their willingness to treat transgender people is a positive sign.”
Transgender Woman Wins Insurance Coverage for Mammogram
Have you ever had been denied health insurance coverage for a mammogram? Tell us about it in our discussion forum!
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