Gallimore v. Kaiser Foundation Health Plan, Inc.
Alameda County Superior Court Case No. RG12-616206
Gianelli & Morris Wins Class Action Lawsuit
Gianelli & Morris has won a class action lawsuit against Kaiser Foundation
Health Plan ("Kaiser") on behalf of Wendy Gallimore and thousands
of Kaiser patients. Kaiser refused to provide reconstructive surgery for
excess skin following massive weight loss unless the patients experienced
functional problems. After a month-long trial in Alameda County, a Judge
determined that Kaiser violated California’s reconstructive surgery
law (Health & Safety Code section 1367.63) that requires health plans
to cover surgery when it will either improve function or create a normal
appearance to the extent possible. According to the decision, Kaiser is
now required to change its practices and provide reconstructive surgery
in order to create a normal appearance.
Gallimore v. Kaiser Foundation Health Plan, Inc (Case No. RG12616206). The judgment is estimated to result in Kaiser members receiving in excess
of $150 million in reconstructive surgery benefits.
“The result will have a dramatic impact on the lives of bariatric
surgery patients who have lost massive amounts of weight, and are often
left with disfiguring excess skin,” said lead attorney
Robert Gianelli with
Gianelli & Morris, who represented the Plaintiff.
For Additional Information Contact Gianelli & Morris
If you have questions regarding how this judgement could affect you and
your right to reconstructive surgery, who better to ask then the team
of Los Angeles attorneys that won this class action? Contact our firm
today by calling (213) 798-4860 or by filling out a
short case evaluation form.