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Blue Cross / Blue Shield & Aetna Disability Firm / Denial of STD. Placing 3rd appeal

1 Greer, SC, United States
Contact information:
Phone: 864-216-3373

I gave you my cell number. I have been an employee at BMW for almost 9 years. Feb.14, 2008 I entered Greenville Memorial for a complete hysterectomy and bladder surgery. It took 4 hrs. My Doctor put me out of work 1/31/2008. I had severe abdominal and pelvic pain along with irregular bleeding. I called Aetna and reported my claim. Paperwork takes forever at both ends. Finally I was approved for my STD a week after my surgery. The next week I received a denial letter stating I had lack of information for my 8 working days before the surgery. At this time BMW was on a 4 10 rotation day schedule. After the denial I filed the first appeal with Aetna. It went through the appeals process and went back to the home office in Portland Maine. Again they asked for more documentation. My gynecologist submitted his notes explaining that I had a bood blot in my uterus among other complications. I returned to work 8 weeks later. They just denied my 2nd appeal stating lack of evidence for those 8 days so again the entire appeal was denied. From1/31/08-2/28/08 I did not receive any Short Term Payments. I have been back at work for 2 months and they gave me points for the entire time I was out. I am filing my third appeal. My last chance to get the paperwork approved. Aetna has called my doctor and told them they needed no more information from them;but they told me I had to get more medical reasons and their nurse had to approve in order to get the claim approved. Even if the doctor sends more notes they could deny my claim. If I am denied this time I will be fired from BMW. How can this happen? How can this be fair? Please I need your help. I cannot afford to lose my job for a surgery that saved my life.

Helen Cochran


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