Aetna Health Insurance

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Scott of Upper Darby PA (01/10/09)
I filled out one of Aetna's application for health insurance and in the end, they wanted my credit card #. This is similar to the application I filled out with Independence Blue Cross (IBX) Health Insurance. However IBX made a note that nothing will be charged until I have approved the final rate of the premium.

Unfortunately Aetna Health Insurance, 2 days after submitting the application, I was charged 122.00 on my credit card without notifying me by phone, mail, or e-mail until I found out myself from my online credit card account.

Attempting to contact Aetna was unsuccessful and thus very irresponsible for their actions. All of the customer support numbers resulted in being hung up. The fact that Aetna claims to not work on weekends make want to call my credit card company to dispute the authorized charges.

Susan of Leh, NJ January 5, 2009

Susan of Leh NJ (01/05/09)
My mother was having severe back pain. Dr's diagnosis was osteoarthritis and gave her painkillers. They did not work she kept feeling worse. She got x rays and a cat scan revealed a herniated disc. More pain killers. They stil did not work right, then she bagan to not be able to walk at all, had constipation and numbing in her flanks. Doctors wanted an MRI done, Aetna denied it the pre auth. They stated their board of doctors did not deem it nessasary.

Her doctors appealed, Aetna denied authorization again. This went on for a bout two months. Finally one day my mother could not move at all. We rushed her to the hospital finally after 6 times Aetna approved the MRI. My mother had a herniated disc so swollen it cut her spinal cord. She is now in a nurisng home because she is paralysed from the waist down due to the delay in finding problem.

ALL DOCTORS ASKED SAID IF SHE HAD GOTTEN MRI SOONER SHE COULD OF HAD A PROCEDURE AND SHE WOULS HAVE BEEN OK. Aetna destroyed her life.

My mother went from an active happy person to a depressed woman living in a home she is not that old 74. she was 71 when all this occurred. I would cry on the phone with these heartless people from Aetna and they could nor care less.

Claire of Oreland, PA December 18, 2008

Claire of Oreland PA (12/18/08)
In October 2008 Aetna forced me to switch to an HMO (I have for several years been a member of Aetna but I paid high premiums in order NOT to be in an HMO). But since they told me I had to be in an HMO I accepted their decree. Ever since then, I have had nothing but trouble: over-charging of monthly premiums, over-charging of prescription fees, when I call to try to things resolved no one is competent enough to help me over the phone at Member Services (I speak with many, many different customer service people and none of them have the same answer to any questions).

So now I am owed over a hundred dollars for the over-charging of prescriptions. I think someone finally got the the monthly premium charges straightened out but we'll see next month when the bill comes. I just never, ever seem to be able to go to the doctor or the drug store without some kind of hassle from Aetna. I spend at least 4 to 5 hours a week on the phone with Aetna and things never get resolved. I am starting to feel like something is fishy at Aetna. If I didn't keep a very good eye on all of the bills I get Aetna would be receiving hndreds of dollars from me that I don't owe them. What should I do? I cannot get things straightened out by myself.

Jerrilee of Columbus, OH December 17, 2008

Jerrilee of Columbus OH (12/17/08)
I have been faxing my information receipts to AETNA for years in order to get my reimbersement of funds spent on Medical needs. Recently, they have become more and more annoying with their refusual to pay due to stupid things. It is not my fault my receipts from doctors are not as clear as they want them to be or do not have the specific information on them. The bottom line is I spent the money on medical needs and should be reimbursed thru the FSA that I contribute weekly to.

I have requested a call from a supervisor in order to get issues straightened out but they have not called. I am currently fight over two claims. One for 65.00 which includes on prescription @ 20, 2 prescriptions at 10.00, One payment to my dentist for 10.00 and one Copay to my family doctor of 15.00. All of these claims are definately within the guidelines and should not have been questioned. Only the 20.00 prescription has been approved for reimbursement. The second claim was for 14.49 for OTC medications including scalpicin, Vicks vapo Rub, and Cortizone cream.

What is so hard to approve in this list? I have two parents who suffered strokes this year, I work full time, and I go to school full time. I do not have idle time to spend trying to clarify the obvious. What can be done to eliminate such time consuming delays?

Daniel of Willow Spring, NC December 16, 2008

Daniel of Willow Spring NC (12/16/08)
I visited my local in-network family doctor after vomiting blood the night before. After giving me a brief exam he said I needed to go to the emergency room. I drove myself to the hospital, walked myself in to the emergency room, and was processed immediately. A 15 minute procedure to put me asleep, stick a tube down my throat, and wake me back up cost 4,500. AETNA refused to pay ANY OF IT. They said my coverage only covered emergencies. I (and my doctor) told them I was sent to the emergency room, and AETNA responded with the same.

Apparently, because I wasn't dead or nearly dead and rushed in an ambulance, my procedure wasn't an emergency. Now I'm stuck with the bill. I cancelled my coverage but several of my coworkers also have ridiculous complaints about this sorry company. I see the numerous complaints on your website and figure it certainly can't hurt to add one more.

4,500 was finally submitted to a collection agency because I (as well as AETNA) refused to pay while we argued.

Scott of Old Saybrook, CT December 15, 2008

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