PHILADELPHIA – Angel Medflight is suing Aetna Health Inc. alleging that the insurance company violated the details of its contract after it refused to pay the plaintiff for an airlift.
Aviation West Charters LLC, doing business as Angel Medflight, filed a complaint on Dec. 21 in the U.S. District Court for the Eastern District of Pennsylvania against Aetna Health Inc., Aetna Health Insurance Co. and the Steamfitters Local Union No. 420 Open Access Health Network Option Program alleging that the company did not uphold the agreed-upon terms of its policy.
According to the complaint, a female patient in California required an airlift to Pennsylvania for a serious health complication. Angel Medflight provided the transportation for the woman in October 2012, but Aetna failed to pay the aviation company for the service, the company says.
The policy of the patient stated that in such emergencies, when airlift or transportation was necessary, the company providing the service would be reimbursed, the complaint says.
Aetna refused to pay the company, and claimed that it had not been necessary for the patient to receive this transportation, as it had not been pre-certified, the complaint says.
Angel Medflight is seeking compensation for lost funds and legal fees incurred. It is represented by Lawrence Weinstein of the Law Offices of Silver and Silver in Ardmore.
U.S. District Court for the Eastern District of Pennsylvania Case number 2:15-CV-06730