HMO Co-Pay Complaint | Insurance Class Action | Chiropractor Co-Pay Fraud

We are investigating a case against certain Health Maintenance Organizations ("HMOs") in several states, including Missouri, Illinois, Texas, Oklahoma and Michigan, who we believe have been charging co-pays that are excessive in comparison to the services provided, over the course of the last 5 to 10 years. If you are a member of an HMO, and have paid a co-pay for any treatment or medication, we would like to talk to you. We would also like to review the EOB (Explanation of Benefits) provided to you by your HMO with respect to any of the treatment or medications you received. We believe that the overcharges at issue occur most frequently in association with treatment by chiropractors, so if you have received chiropractic treatment (and/or prescription medication) and are an HMO member, please contact us to discuss this case.

Below is a list of HMOs in Missouri alone that we believe may be engaging in this practice:

• AETNA HEALTH INC
• ALLIANCE FOR COMMUNITY HEALTH LLC D/B/A MERCY CAREPLUS
• BLUE CROSS AND BLUE SHIELD OF KANSAS CITY
• BLUE-ADVANTAGE PLUS OF KANSAS CITY INC D/B/A BLUE-ADVANTAGE
• CHILDRENS MERCYS FAMILY HEALTH PARTNERS INC
• CIGNA HEALTHCARE OF OHIO INC D/B/A CIGNA HEALTHCARE OF KANSAS
• CIGNA HEALTHCARE OF ST LOUIS INC
• COMMUNITY HEALTH PLAN
• COVENTRY HEALTH CARE OF KANSAS INC
• COX HEALTH SYSTEMS HMO INC
• ESSENCE LLP
• GOOD HEALTH HMO INC DBA BLUE-CARE INC
• GROUP HEALTH PLAN INC
• HARMONY HEALTH PLAN OF ILLINOIS INC
• HEALTHCARE USA OF MISSOURI LLC
• HEALTHLINK HMO INC DBA HEALTHLINK HMO
• HMO MISSOURI INC DBA ANTHEM BLUE CROSS AND BLUE SHIELD
• HUMANA HEALTH PLAN INC
• MERCY HEALTH PLAN OF MISSOURI INC D/B/A PREMIER HEALTH PLANS
• MERCY MC + INC
• MISSOURI CARE INC INCORPORATED
• UNITED HEALTHCARE OF THE MIDWEST INC

In Illinois we believe that the following companies may be engaging in this practice:

• AETNA US HEALTHCARE OF ILLINOIS INC
• AMERICAID ILLINOIS INC
• BCI HMO INC
• BENCHMARK HEALTH INSURANCE COMPANY
• CIGNA HEALTHCARE OF ILLINOIS INC
• CIGNA HEALTHCARE OF ST. LOUIS INC
• COMMUNITY HEALTH PLAN OF SBL INS CO
• GROUP HEALTH PLAN INC
• HARMONY HEALTH PLAN OF ILLINOIS INC
• HEALTH ALLIANCE MEDICAL PLANS INC
• HEALTH CARE SERVICE CORP MUT LEG RES CO
• HEALTH LINK HMO INC
• HEALTH PARTNERS OF THE MIDWEST
• HMO MISSOURI INC
• HUMANA HEALTH PLAN INC
• HUMANA HEALTHCHICAGO INC
• JOHN DEERE HEALTH PLAN INC
• MEDICAL ASSOCIATES HEALTH PLAN INC
• MERCY HEALTH PLANS OF MISSOURI INC
• ONE HEALTH PLAN OF ILLINOIS INC
• OSF HEALTH PLANS INC
• PERSONALCARE INSURANCE OF ILLINOIS INC
• PRUDENTIAL HEALTH CARE PLAN INC
• ROCKFORD HEALTH PLANS INC
• RUSH PRUDENTIAL HMO INC
• UIHMO INC
• UNITED HEALTHCARE OF ILLINOIS INC
• UNITED HEALTHCARE OF THE MIDWEST INC
• UNITY HMO OF ILLINOIS INC