The complaint has been investigated and
resolved to the customer's satisfactionResolved Aetna — Bad Faith Disability Claims Handling
resolved to the customer's satisfaction
My disability income was unlawfully cut off in February--Aetna claimed they performed a peer review, but they did not according to my doctors! Consequently, I have not been able to get the medical care and pain medications that I need and I do not have the money for my rent or other costs of living. I thought that my employer would reward all the extra hours I put in on all those extra projects. I have had two major surgeries in which a bone in my foot and my hand had to be sawed in two and there has been a delayed union in at least one of these body parts. I still need additional minor surgery on my left and right hands before I am physically able to return to work.
I need someone to get Aetna to pay for the last few weeks of my Short Term Disability claim so that I can be healed completely and it won't hurt so much! I have had months of intense suffering and isolation in addition to a severely reduced income and all my savings is depleted. They said my Long Term Disability claim was approved for six months in a letter I received dated 3/24/09, but a week later after I called them and told them that since they approved the Long Term Disability claim, then they need to reverse their decision on my Short Term Claim, now Aetna is saying it is only "tentative" and only for "two months" versus the six months that is stated in their letter and on the Aetna Workability Absence Management web site. They are also asking for more documentation and they do not need more documentation for the initial authorization of a claim because I already submitted this by their 2/28 deadline! Only after a claim is initially approved, it says in the letter from Aetna that they will periodically request more documentation in order to recertify the claim. I am ready to notify the media and other authorities if Aetna does not pay me the disability income I earned and deserve for all the extra hours I put in to make the extra projects for my employer a success! I also cannot understand why I was given another extra project after I had informed my company management that I had been to see an orthopedic hand surgeon!!
I would really appreciate anything you can do to help me in this regard. The Aetna Short Terms Claims Adjuster name is Jackie Quinones and she can be reached at: [protected]@aetna.com. If I cannot find some way to persuade her to process my claims in a "good faith" manner, then I would urgently need financial assistance.
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