Aetna Health Insurance

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Sharnita of Battle Creek MI (04/03/09)
January 21, 2009 I went off work for short term disability. My doctor put me on restriction and my job do on accommondate restriciton of any kind. Aetna should be going after my company not me. Aetna has made me re-certify my clam four times before April 7, 2009. Each time I re-cert , I have to pay for forms and my benefits stop. Aetna have not sent checks on a consistance basis. At one time Aetna was almost 3 weeks behind on my payments and they had to overnight me a check. Aetna did catch my payments up but I had to call them and ask about a check from one of the reinstatement period and they simply said they had forgot to process the payment.

I had to get money wired to me. I am behind on all of my bills because I never know when I am going to get a check. I only get 66% of my weekly wages and I have to keep paying for forms and faxes because Aetna have my doctor filing out paper work after paper work.

Robert of Branchburg, NJ April 3, 2009

Robert of Branchburg NJ (04/03/09)
I retired in 1995 with 28 years of continous service. I chose retiree medical coverage for myself and my beneficiary(spouse). In 1995 the cost was 117.60 per month. Aetna Life Insurance Company is the medical insurance provider. From 1995 to 2003 my monthly medical insurance cost increased to 236,20 per month a monthly increase of 118.60 - 1,423.20 per year increase. From 2003 to 2007 my monthly medical insurance cost increased to 426.67 a monthly increase of 190.47 - 2,285.64 per year increase. From 2007 to 2009 my monthly medical insurance increaed to 589.67 a monthly increase of 163.00 per month -1956.00 per year increase.

In 2008 I spoke with The Celanese Americas Human Resource Director a member of The Celanese Americas Retiremnt Board. I was told that their cost for medical insurance have gone up and they now pass it on to the retiree. I was also told that Celanese Americas may no longer provide retiree medical insurance in the future. I stated that I had a contract with Hoechst Celanese upon my retirement that provided a medical insurance benefit. It is my understanding that the Retirement Plan can be amended but retroactively for retired employees. Each year I receive a Celanese Americas Retirement Pension Plan Summary Annual Report. In 2007 the Pension Plan increased 41,129,283 in net assets. Over the years the plan has incresed net assets yearly. It doesn't appear the Retirment Pension Plan is in any danger of becoming illiguid or justifying the substantial annual increases for retireee medical benefits. I would appreciate your imput regarding my experience with this problem.

Because of the escallation of medical cost per month which now averages approximatley 80.00 per month my retirement will disapear in about 10 years. I am 71 years of age and have serious health problems and unable to work to off set the increases in my retiree medical insurance cost. This has caused a serious drop in my standard of living. Celanese Americas has an impatient attitude about questions regarding how cost increases are decided and the conection with Aetna Life Insurance Company in justiying cost increases. In a recent agreement, announced by New York Attorney General Andrew Cuomo, Aetna to pay 5 million plus interest and penalties for consumer reimbursement claims. I have relevant documents

Deborah of Hyde Park, NY March 30, 2009

Deborah of Hyde Park NY (03/30/09)
I became disabilied and had to stop working as a Teacher in Dec. 2006. I applied for disability through my work insurance (Aetna) as well as Social Security Ins. I was approved through Aetna for my life insurance Policy to be paid for but denied for disability income from Aetna. I obtained a lawyer spending thousands of dollars which was a hardship and still was denied. I was then told I would have to civil sue Aetna insurance company. That is unrealistic to happen when one is disabilied with not enough income to live on.

I have since been approved for social security disability in March of 2009. How ever the amount allowed me is not enough to live on. I know this is a growing issue with insurance companys wrongly denying people there disablity money. I have paid into this insurance for many many years and this is what I get in return when I have a terminal debilitating disease. I dont understand how one sector of the same company approves me disabled and another can deny me. I ask what dose one do in this situation to gain a fair decision being I am legaly declaird disabled. I am single and need the Aetna Insurance disability to be able to afford to take care of my medical and living costs. Please help me with this serious issue. I rather have my health then to be going through this.

The consequences here are that I am unable to affored my medical and daily needs and my elderly parents are finding it very diffucult to help me financialy. I am also having higher symptom due to the stress of this unjust decision by Aetna Ins.

Dennis of Port Orange, FL March 30, 2009

Dennis of Port Orange FL (03/30/09)
In June of 2006, my wife Pamela was diagnosed with frozen shoulder. Pamela received physical therapy treatment from Dr. Malcolm G in Daytona Beach, FL. Pamela was in Dr. G's office when the phone call to Aetna Healthcare was made to confirm insurance coverage. Aetna Healthcare confirmed coverage and her physical therapy started soon after. Aetna Healthcare paid their part and I paid my part, which was 464.11.

Dr. G is now billing me for 3,339.09. Dr. G said he is not in a NAP Contract with Aetna Healthcare. However, Aetna said he is in their network and is in a NAP Contract with them. I have a letter from Aetna Healthcare dated 6-17-08 stating that he is under NAP Contract. I hand delivered this letter to his office. My insurance card said NAP in large print on it and Dr. G's office copied it at the time of service. I have made over thirty phone calls, sent a certified letter, and still cannot get Dr. G and Aetna Healthcare to solve this problem. Dr. G's office said if I do not pay now, he is turning the bill of 3,339.09 over to a collection agency. I am disabled and have been on a fixed income for over ten years. I have done everything that I can do. This problem is between Dr. G and Aetna Healthcare!

Ellie of Cliffside Park, NJ March 23, 2009

Ellie of Cliffside Park NJ (03/23/09)
BEWARE of a little known clause included ONLY in Aetna's health insurance policies known as protection stop.

As a very small business owner, I am under contract for a 12/mo. period and am billed monthly from the 15th of each month to the 14th of the subsequent month. Since one of my employees will be leaving on the 31st. of this month, and will be covered by her new employers' ins. as of April 1, I contacted Aetna and asked to remove this person from our policy as of the 31st of March.

OUTCOME: I am still responsible for payment for the full 30 day period ending the 14th of April even though this person will (1) Be no longer working for me and (2) Will be covered by another health insurance company.

Needless to say, after numerous calls to various departments, supervisors and managers at Aetna, (although very curteous and understanding of my situation) there is really NOTHING they can do.

Therefore, Aetna will be receiving from me aprox 350.00 (1/2 mo. premium)for services which they will not render, and which I do not want nor need. I have contacted the NJ Dept of Ins. and unfortunately it is all perfectly legal, however, they have informed that Aetna is the ONLY company with this provision in their policy.

I have been with Aetna for almost 25 years, but will not be with them much longer. Once again, buyer beware!

Monica of Fox River Grove, IL March 23, 2009

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