Delta Dental Hit With Class Action Over Out-of-Network Rates (1)

Delta Dental Insurance Co. misleads patients over how much out-of-network care is covered under its plans, according to a proposed class action.

The case, filed Dec. 31 in the US District Court for the Southern District of New York, alleges the insurance company promises to pay 100% of preventative care and 80% of “basic services” for out-of-network providers, but then underpays clinicians and sticks enrollees with the remaining balance.

Out-of-network disputes have triggered a number of class actions in recent years, most notably the multidistrict litigation over major insurers’ alleged collusion to underpay doctors through MultiPlan Inc., now known as ...