No. 5:14-cv-128 (D.Vt.), filed June 23, 2014
Issue: Whether the denial of coverage for named plaintiff Glenda Jimmo by the Medicare Appeals Council on re-review of her claim under the revised manual provisions pursuant to the Jimmo settlement agreement was correct.
Relief Sought: Reversal of the Secretary’s decision denying coverage and granting the claim for coverage.
Updated: November 12, 2014
Status: After Ms. Jimmo’s individual claim for coverage was denied on re-review by the Medicare Appeals Council, her counsel filed an individual claim for relief. On October 29, 2014, the case was settled, and Ms. Jimmo's care will be covered by Medicare. The MAC decision was "vacated completely, and that final agency decision shall have no remaining force or effect." The government also agreed to pay attorneys' fees and costs. Read the final Settlement.