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California doctors file lawsuit against Aetna

The lawsuit alleges a systematic practice by Aetna of threatening patients with denial of promised coverage if their members see doctors outside the Aetna network of providers.

By Noah Guillaume | Updated on July 10, 2012

The Los Angeles County Medical Association (LACMA), California Medical Association (CMA) and a coalition of health care organizations and providers filed a lawsuit against Aetna Health of California last week.

The lawsuit, filed in Los Angeles County Superior Court, alleges a systematic practice by Aetna of threatening patients with denial of promised coverage if their members see doctors outside the Aetna network of providers, and threatening doctors with having their Aetna contracts terminated if those doctors refer patients outside the network. The insurance company has carried out both these threats in many cases, according to the suit.

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