Illinois consumers sue health insurer Centene, saying they couldn’t find in-network doctors

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Illinois consumers sue health insurer Centene, saying they couldn’t find in-network doctors
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Consumers in Illinois and other states are suing health insurance giant Centene, alleging the insurer defrauded them

Centene Corporation headquarters in Clayton, Missouri in 2015. A lawsuit has been filed against health insurance giant Centene and its Chicago-based subsidiary Celtic Insurance Co., alleging the insurers defrauded them by overcharging them for plans that didn’t deliver the benefits they promised.

The consumers said, in some cases, they called doctors listed in the network directories only to find that almost none of them took Ambetter plans. As a result, consumers faced delays in treatment, couldn’t get treatment or had to pay out-of-pocket for other doctors because they couldn’t find any in Ambetter’s networks, they allege in the lawsuit.

Centene defended itself in a statement Monday, saying that it and its subsidiaries have worked, since the Affordable Care Act became law, “to help members and their families gain access to comprehensive, affordable and high-quality Marketplace health plans.”

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