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Aetna
Aetna settled a class action over wrongful denials of proton beam therapy claims for prostate cancer treatment.
ClosedUnited States-wideClaim status: Closed on October 3, 2025Payout: Up to $48,000No longer claimable
About this settlement
The case addresses wrongful denials of proton beam therapy claims for localized prostate cancer under Aetna-administered employee welfare benefit plans.
This settlement resolves claims that Aetna wrongfully denied proton beam therapy coverage for prostate cancer treatment under ERISA-governed plans between 2015 and 2024. Eligible members may receive compensation up to $48,000.
Who qualifies
- Individuals diagnosed with localized prostate cancer.
- Members or beneficiaries of ERISA-governed plans administered or insured by Aetna.
- Submitted a precertification request for proton beam therapy between Jan. 1, 2015 and March 31, 2024.
- Received a denial of precertification or post-service claim for proton beam therapy in that period.
Up to $48,000
Claim status: Closed on October 3, 2025