After being contacted by Aetna sales and accepting a PPO plan that included prescription drug plan I realized some thing was wrong. I submitted a complaint to Aetna and about one year after plan went into effect Aetna admitted that after listening to sales recording certain 'things" were...
On August 12 my husband was admitted to area hospital for a diabetic wound on the back of right leg and bilateral edema.Prior to his discharge it was determined that he was in renal failure and dialysis was needed.After his first or second dialysis treatment both arms became swollen.Also...
I filed for Short Term Disability in February.
W0007 23001
Charles M. Michalak
My claim was initially denied stating that Aetna did not receive paperwork from my Doctor. I know that my Doctor completed the paperwork because I viewed it. I also paid $15 for the office to fax it to Aetna.
I...
filed for a Short Term Disability claim. My Doctor's diagnosis and observations support my claim, yet Aetna as denied the claim twice. I get a myriad of excuses; paperwork not received, cannot reach Doctor, Insufficient information, New obtained detailed information not sufficient. It i...
My wife was deined coverage my Aetna. Once I received a bill from the doctor's office in March I reviewed the EOB's and contacted Aetna. I was told I would need a letter of "Medical Necessity" stating this work was in conjunction with the breast lesion removal and biopsy. The doctor'...
After having extreme congestion and a bad cough for over 10 days, I called Teladoc. I paid $40 to be yelled at by a doctor and essentially, to be told I am trying to get medication. When I told him last time I felt this way, I went to the Minute Clinic, they gave me a Zpack and I felt...
Trying to see about buying st disability. Was told I had to do that during my enrollment. I should not have said it because that doesn't want to fork out more money but I found out I have to have surgery a bone is literally coming out of my foot I have to stay off of it . Every time I call...
My employer changed to Aetna from Humana on Jan 1, 2016. Since then, 9 out of 10 claims are denied for various reasons: need more medical records, wrong codes, not a covered benefit (when it is), etc.
One denial for annual blood labs in Feb 2016 was denied as not a covered benefit. When...
Since June 2016 I've been having shoulder issues which my doctor believes may be a torn rotator cup. Aetna repeatedly denied the request for MRI in 2016. On January 3, 2017, Aetna approved the MRI. I had met my 2016 out of pocket expenses so the MRI would have cost me around $160. I find...
Aetna is a rip off. I had a previous miscarriage as the baby was missing part p of chromosome 12 (12 p dilution). The next pregnant the dr suggested i do a cvs test which then showed mosaic of chromosome 12 (23 Q mosaic). As it was the same chromosome the dr suggested we do a micro on my...
Aetna is HANDS DOWN the worst company I have ever had the displeasure of dealing with! Not just the worst insurance, the WORST COMPANY! My husband has severe rheumatoid arthritis and Aetna will NOT pay for the prescription my husband has been prescribed by his Doctor! So far they have...
I retired from Owens Corning in 2006 that had provided life insurance while I was working. In 2008, per my employer website, I contacted Aetna to see if I still had some life insurance as a retirement benefit. I told the representative at Aetna I had retired in 2006 and she looked up my...
My Daughter lives in Cold Spring Kentucky, she has health insurance (aetna) thru Kentucky medicaid. She has been in and out(mostly in) of the hospital for the past week due to adhesion's on her small intestines that are obstructing her bowel which results from Crohn's disease...
july 17th 2013, i was set for back sugery.14 hours before showup time at the hospt.i received a call statting my surgery had ben denied.i was already given a out of pocket amount to pay at admission.ihad to take a leave of absence on july 12th because of the pain.aetna wanted other thing...
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 hand...
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...
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...
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...
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...
My Aetna summary plan description clearly states that 60 visits per year are covered for physical therapy. Nowhere does it state that after 25 visits the PT would be subject to medical review. I underwent radial head surgery on New Year's eve and have undergone painful and...
