Anthem Proton Beam Therapy Settlement (Prostate Cancer)

Who Is Eligible?

You may be eligible to file a claim if you:

• Membership is not self-assessed. Anthem identified the class during discovery by producing its own claims files, and the court certified exactly that group. Approximately 140 people qualify, and the settlement agreement refers to 142.
• The court's definition has three parts. You were identified by Anthem in discovery in this action. You sought coverage from Anthem for proton beam radiation therapy for prostate cancer. Your treatment was not covered by insurance, by Anthem or by anyone else.
• Prostate cancer is the whole scope. Proton beam therapy is used against many tumors, and is recommended for children or for cancers close to sensitive tissue, but none of that is in this class. The case concerns adults refused coverage for prostate cancer treatment on the stated ground that the therapy was not medically necessary.
• Four groups are excluded: the judge and their immediate family and judicial staff, Anthem's counsel and their employees and families, class counsel and their employees and families, and anyone who validly opted out.
• Members were told individually. Notice went out by US mail from the claims administrator to every person on the list, with a claim form attached. If no notice reached you, that is the answer to whether you are in the class.
• Anthem also reserved a way out. If ten percent or more of the 142 class members exclude themselves, Anthem can terminate the settlement entirely.
• Two other Anthem matters on this site are unrelated to this one. The prescription drug denial settlement and the grandfathered prescription drug matter concern medication coverage, not radiation therapy, and have their own deadlines.

How Much Can You Get?

Anthem is creating a common fund of $3,625,000. It is non-recourse, meaning Anthem does not get money back if claims fall short, with the single exception of checks that are never cashed.

Everything comes out of that one fund: the payments to class members, attorneys' fees, reimbursement of litigation costs, service awards to the two class representatives, and the cost of administering the claims.

The formula the court was given is plain arithmetic. Take $3,625,000, subtract fees, service awards, cost reimbursement and administration, then divide what remains by the class members who participate and qualify.

Class counsel's estimate to the court was $20,000 to $25,000 each. With a fund of $3.6 million and roughly 140 people, that arithmetic holds together, which is unusual — most settlements this size spread across far more claimants and pay out in double digits.

There is a ceiling, and it is personal rather than shared. Your recovery is capped at what you actually paid for the prostate radiation treatment. Someone who paid $12,000 out of pocket recovers up to $12,000, not the class average. The cap protects the fund from paying anyone more than their loss.

Payment is not immediate. The administrator distributes within 60 days of the Effective Date, which arrives only after final approval and the resolution of any appeal. Checks must be presented within 180 days of issue; a reissued check expires after 60.

What class members give up in exchange is any legal claim against Anthem and related entities arising from the denial of coverage for proton beam radiation therapy.

How to File Your Claim

You will need the Claim ID and PIN printed on the notice the administrator sent you. This settlement is not open to anyone who simply believes they qualify.

• Use the claim form that arrived with your notice. It came by US mail from the claims administrator, Verita Global, to every person on the class list, and it is the route the court approved.
• According to the court's order, the form asks you to state three things: that you were treated with proton beam radiation therapy, that the treatment was for prostate cancer, and that it was not covered by insurance. Follow the instructions printed on the form itself rather than anything written here, since we have not seen the form.
• Have your payment records to hand. Your recovery is capped at what you actually paid for the treatment, so the amount you paid is the figure that determines your payment.
• The deadline is 10 October 2026. Under the approved schedule the claims period runs 120 days from the date notice was issued, and that is where the October date comes from.
• If you believe you belong in the class but no notice reached you, contact Verita Global or class counsel rather than filing blind. Membership was drawn from Anthem's own discovery records, so an absent notice usually means an absent name, and the administrator can tell you which.
• We could not find a public settlement website for this case. With a class of about 140 people reached individually by post, there may not be one. Treat the mailed notice as the authoritative document.
• Two Anthem prescription drug settlements also appear on this site. They are separate cases about medication coverage, with their own class definitions and deadlines, and filing for one has no bearing on the other.

Frequently Asked Questions