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Aetna - Florida - Terrible Service/Lies

Posted: 2013-09-13 by    Kate6667
Complaint Rating:  100 % with 1 votes
Having a terrible time with Aetna with getting prescriptions. They just lie every time you talk to them. I finally got one to admit that the doctor had sent in a request and they had denied it after they kept saying the doctor hadn't submitted anything. I had the denial in my hands from them and told her that and she finally after a long silence said "Oh I see he did submit it and we denied it. It isn't covered on your plan".

I told her it was on their formulary and she said yes it is but your "employer specifically chose to exclude that drug"!!!
Complaint comments Comments Complaint country United States, Florida Complaint category Health & Life Insurance

Aetna - Florida, Winter Haven - Denied Maternity coverage 12 weeks into the pregnancy

Posted: 2013-05-22 by    SharynS
Complaint Rating:  0 % with 0 votes
My daughter has dependent coverage on my health insurance through my employer. In March of 2013, she became pregnant.
I downloaded my policy coverage and saw in the policy that pregnancy was covered.
I called AETNA to confirm that her pregnancy was covered. One of their representatives assured me it was.
My daughter's doctor called Aetna to confirm that her pregnancy was covered. The representative assured the doctor her maternity costs were covered and gave the doctors office an authorization number
Aetna paid the first 6 claims of my daughter's pre-natal doctor's...
Complaint comments Comments Complaint country United States, Florida, Winter Haven Complaint category Health & Life Insurance

Aetna - Aetna Refuses To Pay Medical Claims

Posted: 2013-05-15 by    Urgent Care
Complaint Rating:  0 % with 0 votes
My medical follow-ups were refused, because Aetna failed to pay my existing claims. I contacted Aetna on numerous occasions and their representatives said the claims were satisfied. However, Aetna’s online resources reflect that the claims are not paid. Also, I’m refused medical follow-ups and being contacted by collection agencies for non-payments. The collection agencies forwarded this information to the credit bureau. Presently, I need medical attention & medication, but worried about accumulating additional unpaid claims. Aetna is causing me more medical problems and anxiety by refusing...
Complaint comments Comments Complaint country United States Complaint category Other

Aetna - Texas - claim denial

Posted: 2013-02-16 by    j-a-c
Complaint Rating:  100 % with 1 votes
Being at age of 69.5 Aetna approved primary care physician directed me to get a shingles vaccination. His office doesn't keep the vaccine due to storage requirements. He said to go to a pharmacy to get the vaccination. I went to Kroger where I have had prescriptions filled for one time use (maintenance med.s require Aetna mail order). I got the $200 vaccination and Aetna denied claim stating Kroger wasn't approved as a provider. Perhaps it's due to me being a working senior on an employee plan they are handling my claim in this manner....
Complaint comments Comments Complaint country United States, Texas Complaint category Health & Life Insurance

Aetna - California - Service, coverage, everything

Posted: 2013-01-11 by    Frustrated man
Complaint Rating:  0 % with 0 votes
Can not stand Aetna anymore. I have never had so much trouble with an insurance company as I have with Aetna. Last year I had to change Dr.'s twice because they no longer accept Aetna. One of those Dr.' Has been my family's Dr. For the last 15 years. To add to my frustration I waited for 4 months for an appt with a back surgeon, only to to told " I'm sorry you made this apt. When we still did except Aetna, an we don't anymore."So I finally get set up with a good Dr. In the next town over from mine, to try and get recommended to another surgeon, and while waiting...
Complaint comments Comments Complaint country United States, California Complaint category Health & Life Insurance

Aetna - Florida - Slow to pay

Posted: 2012-12-13 by    shelly p
Complaint Rating:  0 % with 0 votes
They are the rudest when you finally reach someone. They lied to me, and told me that my claim was approved, ONLY AFTER I told them that my reason being out was a nationwide LAW, so what was the hold up? I have been out of work, and without pay for 6 weeks now, and still no paycheck. So, 3 days later, I called to check on the status of my check, and there was NONE. So, I once again spoke to someone, and she said that they just approved it today. So, that where the lie comes in.
I bet that they would cut off my insurance if I didnt pay them, so where the heck is my money? Its Dec, and Christmas...
Complaint comments Comments Complaint country United States, Florida Complaint category Health & Life Insurance

Aetna - Worst Health Insurance

Posted: 2011-06-12 by    J763
Complaint Rating:  100 % with 2 votes
Aetna has major problems with it's customer service and website which is not user friendly. I am working 3 part time jobs so I have very little time to contact Aetna. I wanted to upgrade my insurance but I'm told I need to reapply.. i've gone to website and have no clue where to go, I've called 3 times and the last they were supposed to mail me the form, . This was 3 weeks ago;. In fact, I have called Aetna on 4 different occasions and asked for things to be mailed and never received anything". Question: Are there any real people that work for Aetna!. Someone cashes my check...
Complaint comments Comments Complaint country United States Complaint category Health & Beauty

Aetna - Arizona - lack of benefits

Posted: 2011-05-20 by    michelleshell
Complaint Rating:  0 % with 0 votes
Aetna schedule of benefits shows that there is a no co-pay and deductible is waived for routine physical exams. Did you know that routine doesn't include talking to your doctor about your health concerns? I asked about my weight and she diagnosed me as overweight. So since I have a diagnosis, it is now considered an office visit and I am responsible for the co-pay and the deductible. Since she is concerned that I might have a thyroid problem, she orders lab work. There is a higher co-pay for getting blood drawn. I was curious about my results and was told to schedule another appointment and...
Complaint comments Comments Complaint country United States, Arizona Complaint category Health & Life Insurance

Aetna - Florida - NO Coverage At All

Posted: 2011-05-06 by    Aetna SUCKS
Complaint Rating:  0 % with 0 votes
Aetna is without a doubt the WORST health insurance you could purchase. It's a rip off and a total waste of money. I got this garbage insurance through my workplace last August. I work part time and they took $89 a paycheck out for their worthless insurance. I have made 2 Emergency Room trips since August and Aetna has paid a grand total of $400 towards the bills. I am now $8500 in debt. They pay for NOTHING. I dropped them this morning and was told I have to keep paying on the policy until July 1. What a joke! AVOID AETNA LIKE THE PLAGUE!!!...
Complaint comments Comments Complaint country United States, Florida Complaint category Health & Life Insurance

Aetna - Long Term Disability

Posted: 2011-05-02 by    sickand sickofit
Complaint Rating:  0 % with 0 votes
AETNA does not pay LTD. They are in the business of denying claims. Please take a look at complain board....
Complaint comments Comments Complaint country United States Complaint category Other

Aetna - Medicare Prescription Processing/Denials/Appeals

Posted: 2011-02-28 by    NMA851
Complaint Rating:  100 % with 3 votes
My mother started her Medicare Part D plan in 2008. I retained Aetna for her in 2009 and I still kept them in 2010. Despite knowing the changes in their Drug Formulary, there was no need to change plans given I was ASSURED that my mothers' prior authorizations would still cover 4 medications - in writing. For those who do not know, a Preferred Drug Formulary is their "list" of drugs they will cover and at what price "Tier", Brand vs. Generic, etc. These 4 medications were covered in 2008 and 2009 via the "prior authorizations", hence the need for these prior authorizations...
Complaint comments Comments Complaint country United States Complaint category Health & Life Insurance

Aetna - Won't pay for Celebrex

Posted: 2011-02-11 by    Stan P
Complaint Rating:  100 % with 1 votes
If Aetna thinks for one minute they're not going to cover my Celebrex, the ONLY drug I take, they had better think again. I'm contacting the Attorney General tomorrow, and after that, I'm going to Congress, because, you see, I live in Washington DC. And here in Washington DC, not only do people have an UNLIMITED capacity to ***, we know how to do it. This issue is NOT going away, it's not going to go away, not now, not ever. I have tried other drugs and nothing works but Celebrex. Nothing. On Celebrex, I can live like a normal person. Without it, I will be in a wheel chair....
Complaint comments Comments Complaint country United States Complaint category Products & Services

Aetna - Pennsylvania - denied short term disability

Posted: 2011-02-10 by    xoLissyox
Complaint Rating:  0 % with 0 votes
I had gone out of work on medical leave on August 3rd 2010 and was told to apply for short term disability thru the company sponsered plan thru Aetna. I did so and was denied in September and I thus filed and appeal with them and in the mean while had no money coming in and had to borrow from family and friends and that ran out. So I am being evicted from my apt and lost my car insurance and the cell phone was shut off. Now here it is Feb 5 months since i filed the appeal and was denied again and said i cant appeal again my case is now closed but i can pursue a civil case...And because I was deied...
Complaint comments Comments Complaint country United States, Pennsylvania Complaint category Other

Aetna - Refuses to pay my supplemental income

Posted:    Mcarrera
Complaint Rating:  100 % with 1 votes
Aetne has denied payment for the difference of what EDD is not paying for my medical leave, due to Work related injury, back, wrest, and stress on the job injury. Bank Of America. I appealed with full report from Chiro and Phscy and still they deny pymnt stating report does not give details of this being work related and Medical test and analysis indicated in the report stat stress due to back injury and stress at Bank of America. and she will have to fwrd this over to the physical medical department and mental health with not approve it, I received and denial letter. not that sum other dept will...
Complaint comments Comments Complaint country United States Complaint category Products & Services

Aetna - Denying "life sustaining medication"

Posted:    Klej
Complaint Rating:  0 % with 1 votes
THIS IS INHUMANE! My doctor, my pharmacist, and I have been in contact with AETNA for 3 days. I have not had my synthroid since 9/15/10. Aetna would only reimburse for generics, so I use them for the past 3 months. I did not respond to Levoxyl(GENERIC CRAP), and my T3 & T4 are so low that my doctor told me if I feel ill to go directly to the ER. He had no samples to give me. My doctor wrote "patient blood levels improved on Synthroid", been on medication since 1980. AETNA SAID, it is not saying the medicine didn't work, just that you "improved" on the brand? WHAT????????????...
Complaint comments Comments Complaint country United States Complaint category Health & Beauty

Aetna - Never ever use home delivery

Posted:    Norman
Complaint Rating:  0 % with 0 votes
They go from not following your written instructions on the reorder form. to charging your credit card for refills you did not request and without your authorization. I think in most states they consider that illegal. When you try to get it corrected -they tell you all kinds of different stories. They did this twice within the past three week period. Do not I repeat to not use these people. The attorny general in Florida should look into their business practices. They have serious problem within their company. Again do not ever use these people

Where is a good lawyer when you need...
Complaint comments Comments Complaint country United States Complaint category Products & Services

Aetna - Texas, Austin - won't pay for basic policy contract

Posted:    garrethhunter
Complaint Rating:  100 % with 3 votes
Aetna won't even pay for basic coverage of primary care physicians in my plan coverage. That's not anything special, I am talking about just going to the primary care physican, they won't even pay my claim for regular doctor visits.
Aetna SUCKS....
Complaint comments Comments Complaint country United States, Texas, Austin Complaint category Doctors

Aetna - Florida, Fort Pierce - Refuses to pay for radiation treatments to remove prostrate cancer

Posted:    taziyah
Complaint Rating:  0 % with 0 votes
I was diagnosed with prostrate cancer after a biopsy from an in network urologist. He scheduled an appointment with a radiologist to start treatment. Aetna refused to pay for the biopsy. Aetna also refused to pay all imaging procedures to penpoint the areas of my prostate that has the cancer. I am at the moment trying to pay of the imaging company and the urologist to the tune of quite few thousand dollars. I still have to come up with the money to pay for any procedures to remove the cancer.

Aetna never gave a reason for not authorizing payment other than the procedures are not authorize...
Complaint comments Comments Complaint country United States, Florida, Fort Pierce Complaint category Health & Life Insurance

Aetna - Scam

Posted:    Silvia
Complaint Rating:  0 % with 0 votes
At the end of 2009, GE insisted that everyone convert to a more self-managed medical insurance plan.

ccThey held onsite information / question/answer seminars for employees and retires.

The information they spewed concerning assurances that pre-existing medical conditions would still be covered and answers to specific questions turned out to be totally false, and outright LIES.

What they accomplished was to turn over autonomous coverage decision authority to Aetna and a couple of other insurance companies, who's only incentive is to make sure most...
Complaint comments Comments Complaint country United States Complaint category Health & Life Insurance

Aetna - Aetna representatives lied to me over the phone

Posted:    Krish
Complaint Rating:  100 % with 2 votes
My complaints with Aetna health insurance range from August 2009 to present. The claims are regarding therapy services for my daughter who has cerebral palsy. I have two major ongoing problems: Aetna representatives lied to me over the phone, telling me that more therapy than the 60 days written in plan would be available once her doctor wrote in a letter, and then Aetna denied the coverage for these claims stating it was not in my policy and would not stand behind the misinformation given by their employees that led me to continue therapy and then had to pay for it on my own. My second complaint...
Complaint comments Comments Complaint country United States Complaint category Health & Beauty

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