Aetna faces no risk of financial loss in health benefits case, federal court rules

By Allison Bell

News March 10, 2026 at 04:32 PM

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What You Need To Know

Both plaintiffs are participants in self-insured employer plans.
An Aetna clinical policy bulletin classifies some gender-related face procedures as cosmetic and not medically necessary.
The judge ruled that the TPA is the defendant, not the plans, and that the TPA faces no risk of financial loss.

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