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Have you had a bad experience with the AETNA insurance company?



Have you had a bad experience with the AETNA insurance company?

I have not had one personally but AETNA is the insurance my job offers. I opted out because I heard it wasn't worth the paper it is written on.
My boss has it and went to the dentist. After the shot to the gums and the drilling began... the nurse entered and told him his insurance wasn't accepted for that procedure. He jumped up (hole in the tooth and all) and had to call the insurer and got the run around. He walked around with that hole in his tooth for 3 extra months before he could have the tooth repaired.
Larry ( at the job again) had a minor heart attack and his arteries were clogged from cholesterol. After 3 shunts (stints?) and a weeks visit to Vanderbilt Hospital... Larry had a monstrous bill in the area of $10,000 plus. AETNA didn't want to pay so Larry had to use his wife's supplemental insurance on him (CIGNA I think) to get the bill partially paid. Too bad for Larry. I don't like him but I really empathized with his situation. Imagine that.
The owner of the company had a bad experience too. It was only after he did that the company switched to another carrier. I am still opting out but... there you have it.... AETNA is not the best when it comes to taking care of it's clients.
Good Luck Honeychild...
actually not
Not as a customer, but as a provider- I worked for a doctor's office that accepted Aetna, and we had a really hard time getting payments from them after filing people's insurance- they were extremely slow and we had to constantly call them.
Sometimes they take 2 years to pay bills,send hard copy of bill for faster pay of Medical bills.
Took care mother's med bill's for 5 years.
Patient has cancer, sees specialist.
Specialist determines surgery is necessary, operates.
Patient is determined to have terminal condition.
Unfortunately, authorization isn't obtained before visit to specialist and subsequent surgery.
Claims are denied.
Patient is sent bill for over $20,000.
Patient appeals, asks insurance company to reconsider.
Insurance company refuses to consider payment.
Insurance company says patient should have made sure authorization was in place before surgery.
Insurance company says patient "must be PUNISHED" for not following the proper procedure.
These were the actual words of this particular insurance company's claims manager.
Excuse me? Punished?
As a patient, no. They were actually the best plan I've ever had.

As a provider, they can suck sometimes, but they're among the best payers out there.
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