When a dental insurance company gets sued, it may have to pay $300 million to a family
Posted September 14, 2018 06:16:07The family of a woman who died of a brain aneurysm while receiving a treatment at a dental clinic in South Carolina is seeking $300,000 from a company that had to pay out nearly $1 million in insurance premiums after it was sued for billing it for the treatment.
The lawsuit, filed in federal court in the state capital of Columbia, seeks $300 to compensate the mother and three daughters for the $1.8 million cost of treatment that included her blood transfusions, lab work and the use of a machine to inject blood.
The family had sought $5 million for the death of Maria Gervais, whose cause of death was ruled a stroke.
The woman was on a waiting list for a heart transplant when she suffered a stroke in 2016.
The family had been told that the operation would cost $10,000 to $20,000.
In a statement, the woman’s mother said her daughter had been “saved from a terrible death.”
The statement did not elaborate on the nature of the surgery, and did not provide any details about the family’s financial damages.
The suit claims the family was misled about the treatment and that they were misled about whether the procedure was covered under insurance.
In the statement, a spokesman for the family said: “We were not misled by any insurance company, we are a family of four and Maria was a loving, caring mother.
We feel bad for what happened to her.”
Maria Gervas, 37, was born with cerebral palsy and cerebral palsying, and had lived in an assisted living facility for about four years.
She had recently been diagnosed with dementia, and was not receiving the needed care.
A spokesperson for Anthem, which runs the South Carolina dental care clinic, said the company had been aware of the lawsuit, and the company was reviewing the matter.
The spokesperson did not say whether the company would pay the family.
The South Carolina Department of Health and Human Services said it had been contacted by the Gervases, and that the department would be reviewing the lawsuit.
In its statement, Anthem said it was investigating the claims.
“We do not comment on pending litigation,” it said.
The mother and daughter said they were seeking damages for emotional distress and for loss of future income, but did not specify how much they were looking for.