ANA Discussion Forum
General Category => Insurance => Topic started by: lawmama on April 26, 2010, 10:52:22 am
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I am so fed up with dealing with Aetna. It has been 6 months since my first AN-related claim (the MRI that led to my diagnosis) and I am still fighting with Aetna to get the claims paid. At this point, I fear that some of these bills may start to appear on my credit report. The problem seems to be the pre-existing condition review. For some reason, they can't comprehend that ALL of the claims from the past 6-months are related to the exact same thing. Thus, wouldn't common sense tell us that one pre-existing condition review should cover them all? If you are Aetna, apparently the answer is no.
Sorry for the gripe session. Not a week goes by that I don't make at least 3-4 phone calls between the different billing offices and Aetna. I'm already busy enough. Maybe one day they will get them all paid. ::)
Has anyone else had this experience?
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First, let me KNOCK ON WOOD!!
We have Aetna and have NEVER had any problems and think how long ago my AN was?? Truly, I have NEVER had to speak to them about paying for anything remotely related to my AN - which it basically all is! I have talked to them about other small issues (like about well checks for my girls) and then we had a LOT of calls about my T3 surgery but that wasn't because they wouldn't pay it, it just took a while because it was a new procedure and they weren't sure how to cover it (and it was in Baltimore and I live in Texas). I will say that I did think about this since we are about to move and how it will all go now...
Sorry this is such a pain for you!! Hope it gets resolved soon!
K ;D
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Lyn, all I can say is stick with it. This has happened to me often enough that I'm convinced that insurance companies routinely deny claims in the hopes that the insured will eventually give up and they will not have to pay.
Also keep in touch with the medical offices. They should work with you on not reporting late payments to the credit bureaus as long as you are in dispute with the insurance company.
Good luck.
Sara
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All I can say is "keep at 'em" - we have Aetna and I had zero problems. They paid for everything, no hassles - which may be due to the surgeon's staff getting everything approved ahead of time. I've had 3 MRI's since surgery and no problems with coverage there either. Keep pushing them and go as high up the ladder as you have to. Also, don't hesitate to get your doctor's involved. It's crazy to have brain surgery and then have to duke it out with insurance - hmph!
Debbi
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Ugh. :(
I hope you've gotten it straight now. I had issues with my insurance on some things, but not all. Apparently the hospital I where I was treated and my insurance notoriously don't get along. It took a long time and many phone calls, but it finally got straightened out.
I haven't looked at my credit report recently to see what it did to that, though. The hospital sent me a notification that my $47,000 surgery bill was being sent to collections (a week before Christmas, no less), and then when I called them they were like "Oh, no, you're fine. We know your insurance is the one holding it up." ??? >:( And then insurance blaimed it on the hospital, etc etc.
Anyway, I'm just venting now. Just wanted to let you know you're not alone and I feel for you!
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My husbands insurance is now Aetna. His claims seem to go through without a problem but it's a secondary for me and I'm having all kinds of problems with them. I have called them three times on the same claims. I even had to teach them how to read the EOB from the primary. The claims still aren't processed so I hope I don't ave to call again