United States - 06156
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Aetna Pharmacy Claims
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I applied for long term disability benefits through my employer (Federal Government) under a policy that I...
I have paid into Aetna Insurance for 3 years...first time I try to use my insurance...nothing but problems...took 4 hours of phone calls from my job and still could not get my prescription..talked to 3 different departments, 3 different people and they can't even get the spelling of my medication straight...was given 3 different prices of the meds..and then they couldn't find my meds in their system...being on a 3 tier level for meds...Generic is suppose to be $15.00 co-pay..., then I went to the pharmacy to get and Aetna wants to charge me $60.00...left without my prescription...called, was told no that the regular prescription should be $32.18...and the generic should be $60.00...this is absolutely nuts...2 days now and I still don't have my prescription and I'm in Severe PAIN...AETNA ABSOLUTELY SUCKS AND THEY HAVE NO CLUE ON THE OTHER END OF THE PHONE...MY FIRST EXPERIENCE AFTER PAYING FOR 3 YEARS IS A NIGHTMARE
I worked for an Insurance broker for just over a year and dealt with claims and complaints on a regular basis. Now I know that certain things are not covered, however with Aetna there are a few things I would like to share. Out of all the companies I worked with they were hard to deal with and when I say that I mean: Rude customer service people and no accountability.
This insurance was provided through Group Insurance at work so I figured I was getting a great deal. The providers on the list in my area would not see new patients for a waiting period of 4-6 months. And given the state of the economy I wasn't sure how long I would be able to afford it. Anyway after I got through the entire list of providers with just one doctor willing to see me that month. I called Aetna and asked to change my provider, they said, "No problem." After 10 minutes of waiting I was informed that there was an issue with that provider and they couldn't make it my primary at the time. The Representative went on to say as long as they are an Aetna provider I can see that Doctor. I went to a simple standard check up with urine analysis, blood work, reflects, and check for hernia. Now About 7 months after my visit I get a letter from a billing company stating I owe them 150.00. Aetna refused to pay even though I called to verify and had given them up to 1600.00 without going to the Doctor once. They made the process drag out for the next 3 months with promises it would be resolved, but it never happened. The Claim was denied on three different occasions. Two times due to an invalid tax id that the doctor uses and Aetna requires. I am now in the midst of filing an appeal and it's almost been a year since the visit and I am still slugging it out with this insurance company that enjoys collecting money. But, refuses to pay for one Doctor visit in a year. I had not been to the Doctor in 2 years because of tough times and this is what I had to deal with.
I understand their are regulations on policy on what’s cover and what’s not. But, to mis-inform customers and then say well their are no notes on the call so must pay the full amount. This is a prime example of Insurance company abusing the fact this country has one of the worst providers of Medical assistance. I make too much for Medicare and not enough for regular insurance. Their are millions of Americans like me that get the shaft from companies like this on a monthly basis. This company I would recommend you stay away from if possible. However, until they fix the system in this country they will profit from us when we are sick and when we are healthy. They refuse to provide basic checkups and increase our rates because we fail to go to the Doctor due to fact it's such a Dam hassle. I am sure some will say stop complaining or just pay the bill. For 1600.00 a year I think I deserve a doctor visit with simple co-pay that was explained to me when I joined. I highly advise you go with Humana if you can qualify or is worth it in your individual situation. Will write back with the outcome; however I have a feeling it will take a year from the date I went to the doctor. wtf
My disability income was unlawfully cut off in February--Aetna claimed they performed a peer review, but they...
My employer ( One of the big banks taking gobs of taxpayer money to clean up their bad business practices) switched my health insurance coverage to Aetna and I have had nothing but problems since. Aetna seems to cover very little compared to my former provider and they demonstrate a "Couldn't care less" attitude when I call to get their reasons for dening claims that the old provider covered with no questions. Since I pay just as much for my current Aetna policy as I did for the old one, ( a bit more in fact) the difference in coverage is nothing short of a complete rip-off. I have no choice in the matter as my employer offers no other option ( I wonder how much Aetna is paying for that) I strongly advise anyone with an opportunity to choose their healt care insurance provider to avoid Aetna like the Plauge! (they don't cover that either, I'm sure)
Aetna did not pay claims submitted in 2008. Presription and recommendations were issued by Medical Physician Specialist and Aetna still refused to pay, stating procedures unnecessary.
In this day and age when American jobs are taken away, I called Aetna for info twice. Both times, I was transfered to an "agent" who was obviously outsourced. Oxford was in the U.S.
Time for us to start making our decisions based on what companies outsource.
I am a professional w family insured by an Aetna PPO. I have a particularly agregious example of what has become the norm in the insurance industry and that is claim denial by default.
Recently Aetna denied coverage of my 6 year old daughter's annual well-care visit. The reason? Apparently we had only allowed 359 days between appointments and they look for "12 consecutive months" to have elapsed.
Given a company that will automatically deny well-care coverage for a healthy 6 year old, one can only imagine the heartache they give to someone truly sick.
I registered for a flex fund through my employer at the time of the birth of my third child. I was assured by both Aetna and my employer that the matter was common place, and that whatever eligible expenses occurred as a result of the birth could be recompensed from my flex fund. Now I am being told by Aetna that I was not covered by my flex fund due to a delay in payroll deduction. I am being told by my former employer that this is 1) untrue and 2) a common, though inexplicable response for Aetna. Starbucks (former employer) has been nothing but supportive (yay Starbucks) but as usual Aetna is stonewalling, misdirecting and delaying resolving the issue. Their administration of flex fund claims is reprehensible. Were they in a position to actually profit from this practice, they would have been sued already. Sadly though, they are not: the funds in question are forfeited if nothing is done with them by the end of the year. They are playing games with other people's money simply because they are arrogant, mean spirited and lazy. How sad...
I HATE AETNA! THEY ARE MAKING MY FIRST PREGANCY A LIVING HELL. FIRST THEY TELL ME THAT THE ULTRA SCREEN, WHICH TESTS FOR DOWN SYNDROME IS NOT COVERED IN MY PLAN-OR ANYONE'S PLAN FOR THAT MATTER. MY DOCTOR TOLD ME THEY ARE ***THE ONLY*** INSURANCE THAT DOESN'T COVER THIS, EVEN THOUGH IT IS RECOMMENDED BY THE NATIONAL BOARD OF OBGYN'S. SECOND, I GET A LETTER IN THE MAIL FROM THEM TODAY STATING THAT ANY TESTS THAT ARE DONE AND SENT TO THE COMPANY "LABCORP" ARE NOT COVERED UNDER AETNA, ONLY TESTS SENT TO "QUEST" WILL BE PAID BY THEM. MY DOCTOR ONLY USES LABCORP-SO NOW I AM JUST WAITING TO GET A BILL FROM LABCORP TO PAY FOR A FREAKIN PAP TEST. I AM SO MAD!! AND THERE IS NOTHING I CAN DO ABOUT IT EXCEPT STAY MAD.
I was told over the telephone when i called customer svc about a claim that although i work, my...
Went to the doc in April of '07, they still haven't paid. Looking for a new doc, but no one wants to take SRC Aetna insurance because they have a bad reputation. Tried to get an appointment recently and not one of the doctors on their list online will take me before the middle of January. What am I paying them for? If I didn't have health insurance I would be better off! Isn't that sad?
Aetna has continued to deny paying bills for both my husband and myself, claiming the procedures were not precertified. I have contacted all doctors who called for the procedures and they are certain everything was PRECERTIFIED AND PREAUTHORIZED. I continue to get the run around from everyone at Aetna, as well as their third party Med Solutions. This is now going to the California State Board of Insurance, initiated by both my providing hospital Hoag, my prescribing doctor and myself.
In the last year, my premiums have DOUBLED and the service from Aetna is terrible. I am discussed.
I was talking to Audry a case manager at Aetna today. She was very rude and did not care about my patient. She seemed angry and when I gave clinical information about the patient she made fun of the symptoms and the situation my patient was in. I was about to turn in a apl for Aetna Insurance for myself but I am going to tell my agent to find me some other options! I would recommend that Audry learn more about health care so she will not be so judgmental about patients symptoms. This is private health care information and not something to judge or make sarcastic fun of.
Yep. Same problems with Aetna RX - Asthma medications won't get refilled for ANY number of reasons! Twice it was because they "didn't receive" the faxed in prescription. Then it was held up because insurance denied it (??) then I was told they would get it filled, then i got a call from my doctor saying the Aetna RX wouldn't fill it...
I have spent HOURS on the phone with these people and want to file a formal complaint - anyone know how to do this. This has seriously gotten out of hand and is the most cluster freaked business I have had the misfortune of dealing with.
I was a member of Aetna through H and R Block from March through July of 2008. I received, on October 15, a letter with Aetna letterhead purporting to be a bill for pharmacy purchases billed to Aetna from CVS Pharmacy and Bridgeport Pharmacy.
Here's the problem: I was never a customer of Bridgeport Pharmacy; the CVS purchases were made in August and September, and the pharmacy staff knew I was no longer a member, so they would not have billed Aetna; and, the so-called "invoice" is a bad copy printed on cheap paper: Aetna would never send a legitimate bill that looks like this. I'm not worried about paying the "bill": my concern is that someone has my pharmacy information.
Aetna SRC okays every thing and pays nothing! This should be their moto. I have 50K hospital bill from my...
Aetna’s Short Term/Long-term Disability benefits are the worst. You pay for it- oh yeah, you pay. Try...
I had back surgery in 12-07 & United health care says my surgery was not medically necessary! I was in excruciating pain for 7 years before I decided to undergo surgery in the Laser Spine in Tampa. The total cost of the surgery is $70, 000.00 & as of today-united health-care says that their doctors say that I got surgery for my convenience & not for my necessity. I do not know where to go from here. If anyone out there has any advice, please let me know...Do I contact a lawyer that I cannot afford?
I went to see a specialist. After checking Aetna's website to make sure the doc was in network, I called Aetna to make sure as well. The doc even called and transcribed the call because of problems with Aetna in the past. The claim came. They charged the doc as out of network. After I called, the customer service rep just did not care. It was not her problem. My doc had to go through and get Aetna to pay, but the *** paid about 28 dollars. What am I paying a monthly fee for if the *** wont cover in network doc visits. Aetna has the worst customer service, worst marketing, and worst fees. I hate Aetna.