Aetna

[Guest guest]

Cindy,

I am looking for Info on Aetna. Did you appeal your case? Who was/is

your suregon? Was your company full insured through Aetna or was

Aetna simply a third party adminstrator?

Thanks,

Hull

> In a message dated 4/10/01 2:04:35 PM Central Daylight Time,

pamjams2@a...

> writes:

>

> << What I would like to know is how long did you wait after your

letter was

> submitted to your insurance companies before you began calling? I

mean,

> it's

> only been 24 hours, and I don't want to push my luck. >>

>

> For myself, I waited about 4 wks because I knew they had 4-6 wks to

make a

> decision. Imagine my surprise when I learned that they had only put

it into

> their system 4 days prior to my calling! They had had it for

almost a month

> before they even entered it into their system! I thought that was

outrageous

> and told them so, but of course, they didn't care; they just passed

the buck.

> It is of course, nobody's fault according to them. I think they

have 1

> person to bring the mail in, 1 person to put the mail in the mail

room, 1

> person to sort the mail, 1 person to open the mail and 1 person to

distribute

> the mail, etc. It's about the stupidest system I've encountered!

You'd

> think they were the government! Anyway, after that I called every

couple of

> days and got an answer within a week, then it took another week to

get a copy

> of the letter in my hand. Unfortunately it was a denial, but we

couldn't

> appeal until we had a copy of the letter. Now we are going to

appeal. I had

> hoped to have surgery in early Summer. Now I doubt that will

happen. I don't

> even know if I'll get to have surgery this Summer at all. They

will most

> likely approve another procedure, but denied the DS, saying it was

> " investigational " . What a rip-off!

>

> If I were you, I'd give them 1 week, then I'd start calling often,

to

> pressure them. I heard that each time someone handles your call it

moves

> your file to the top, so the more often you call, the more likely

you are to

> get them moving on it.

>

> CindyW in MS