Legal Opinion

Roberts v. United Healthcare Services, Inc.

California Court of Appeal

Decided August 4, 2016No. B266393PublishedCited by 10 opinions

1Opinion of the Court

Opinion

HOFFSTADT, J.

Plaintiff Edward J. Roberts (plaintiff) enrolled in a private health plan offering benefits to persons 65 and over as well as disabled persons under the federally funded Medicare Advantage program (42 U.S.C. § 1395w-21 et seq.), and went to an urgent care center outside of the plan’s network for medical services; as a result, he was forced to pay a $50 copayment instead of the $30 copayment for in-network centers. Alleging that the plan’s marketing materials misled him (and other enrollees) as to the availability of in-network urgent care centers (and their smaller…

2Cases cited47 opinions

  1. Rice v. Santa Fe Elevator Corp.Supreme Court of the United States · 1947
  2. Medtronic, Inc. v. LohrSupreme Court of the United States · 1996
  3. Fidelity Federal Savings & Loan Ass'n v. De La CuestaSupreme Court of the United States · 1982
  4. Heckler v. RingerSupreme Court of the United States · 1984
  5. Geier v. American Honda Motor Co.Supreme Court of the United States · 2000

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3Cited by10 opinions

  1. Major v. R.J. Reynolds Tobacco Co., California Court of Appeal, 5th District2017
  2. Almond Alliance of Cal. v. Fish and Game Com.California Court of Appeal · 2022
  3. Almond Alliance of California v. Fish and Game CommissionCalifornia Court of Appeal · 2022
  4. Dignity Health v. Local Initiative Health Care Authority etc.California Court of Appeal · 2020
  5. Estela Escarcega v. Verdugo Vista Operating Company, LPDistrict Court, C.D. California · 2020

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