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

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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.

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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.”