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Aetna / They suck

1 OH, United States Review updated:

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.

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Comments

Ja
  25th of Jun, 2010
Agree Disagree 0 Votes

Whenever there is ANY issue you should 1st call your PLAN SPONSOR'S REPRESENTATIVE.
You can call your human resources department of the employer the AETNA insurance is through.
Ask for the insurance benefits specialist & ask them why your employer chose AETNA - explain how
they may not want to go with AETNA as an option for the next open benefits registration.

The liason may be able to get some action.
This really freaks out everyone at AETNA because they risk losing the contract ;)

Ja
  25th of Jun, 2010
Agree Disagree 0 Votes

If your employer had the type of AETNA insurance that just has AETNA reviewing & paying claims... is it your employer's money used to pay the bills instead of AETNA's money? If it is, then it's very possible your employer is aware of all your health information including labs, diagnoses, vital signs, medications & every chart ever made on you. The employer is the "payor" and possibly has access to all of your information. It's seems wrong to alert employers of high risk / "high dollar" employees. I expressed my concerns about this and didn't get far. They claim the employer doesn't have the name of the actual employee costing them so much $$$.
I wonder though if an employer could figure out which of it's employees has been in the ICU for 20+ days? It doesn't seem too difficult for them to figure it out.

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