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Entertainment September 9, 2020

Hillary Swank sues SAG-AFTRA Health Plan over denial of coverage for ovarian cysts treatments

Entertainment ı By Marivic Cabural Summers

1,193 0 Comments

Hillary Swank Photo
Actress Hillary Swank filed a lawsuit against the Board of Trustees of the Screen Actors Guild - American Federation of Television and Radio Artists (SAG-AFTRA) Health Plan on Tuesday. In her complaint, Swank alleged that the SAG-AFTRA Health PlanTrustees unfairly denied her claim for insurance benefits for “medically necessary treatment for ovarian cysts and endometriosis.”

Hillary Swank is suffering from recurrent malignant ovarian cysts

Hillary Swank has been suffering from recurrent malignant ovarian cysts, which was diagnosed in 2008. That year, she underwent emergency surgery to remove her damaged left ovary. Since the surgery, her doctors required her to undergo aspirations of the cysts—sometimes multiple times a year—because her ovarian cysts develop rapidly and destructive. In 2009, Hillary Swank started submitting claims for treatments of her ovarian cysts. Her claims were initially denied. The SAG-AFTRA Health Plan cited an exclusion of “infertility treatment.”  In 2011, it eventually agreed to cover all costs for her ovarian cysts treatments based on the fact that she was not trying to conceive. At the time, doctors were trying to treat her ovarian cysts with birth control pills. Since birth control pills were ineffective to treat her medical conditions. Her doctors required regular ultrasounds to monitor the growth of the ovarian cysts and surgical aspirations of the cysts as necessary. Hillary Swan continued to submit claims for her ovarian cysts treatments, which were paid in part by the SAG-AFTRA Health Plan Trustees until 2015. Aside from ovarian cysts, Hillary Swank was also receiving treatment of her endometriosis. That year, she underwent procedures to preserve her ability to conceive in the future if she so chose. She did not submit claims for these procedures. She continued to receive treatments for ovarian cysts and endometriosis between January 1 2017 and present and submitted claims to the SAG-AFTRA Health Plan Trustees.

Trustees think Hillary Swank’s treatments were “fertility-related”

However, the Trustees decided not to cover her treatments after January 1, 2016. They claimed that treatments were “fertility-related.” Hillary Swank’s doctors’ are monitoring and treating her remaining ovary “to prevent the risk of debilitating medical conditions, including cancer, loss of estrogen production, premature menopause, osteoporosis, depression, hyperlipidemia (high cholesterol in the blood), coronary artery disease, arthritis, asthma, chronic obstructive pulmonary disease, chronic pain, fatigue, chest pain, heart palpitations, muscle spasms, insomnia, recurrent urinary tract and yeast infections, and even early death,” according to the lawsuit.
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Marivic Cabural Summers
2032 Posts

Marivic Cabural Summers

Marivic has been a freelance writer/journalist for nearly 20 years. She strictly adheres to the ethical standards in journalism. For her, integrity is everything. Readers deserve to know that real story. She previously worked as research analyst and editor at Lombardi Financial and has written for various websites including The Motley Fool, ValueWalk, IcannWiki and was a news writer/radio program producer at Nation Broadcasting Corporation. Marivic holds a BA in Mass Communications.

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