• Report: #1084197

Complaint Review: Aetna Health Insurance

  • Submitted: Fri, September 13, 2013
  • Updated: Fri, September 13, 2013

  • Reported By: Kate6667 — Orlando Florida
Aetna Health Insurance
Nationwide USA

Aetna Health Insurance Aetna Lies about benefits Internet Nationwide

*REBUTTAL Individual responds: Aetna questions

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Having a terrible time with Aetna with getting prescriptions. They just lie every time you talk to them. I finally got one to admit that the doctor had sent in a request and they had denied it after they kept saying the doctor hadn't submitted anything. I had the denial in my hands from them and told her that and she finally after a long silence said "Oh I see he did submit it and we denied it. It isn't covered on your plan". 

I told her it was on their formulary and she said yes it is but your "employer specifically chose to exclude that drug"!!!

What employer goes through and picks and chooses specific drugs not to include in their plan?

They also are trying to get away with not paying for a pre-approved investigative procedure by saying it may not be covered under their pre-existing condition policy. Its a procedure to find out if I have something so how could I have already been diagnosed? Also that clause does not apply in group coverage when you've been continuously covered. They want a 3 page questionnaire filled out. Who was your prior policy with? YOU, AETNA What is the phone number? YOURS, etc. etc. Just a delaying tactic.

They customer service reps are rude and appear ill informed about their own product and their own policies.

This report was posted on Ripoff Report on 09/13/2013 08:32 AM and is a permanent record located here: http://www.ripoffreport.com/r/Aetna-Health-Insurance/nationwide/Aetna-Health-Insurance-Aetna-Lies-about-benefits-Internet-Nationwide-1084197. The posting time indicated is Arizona local time. Arizona does not observe daylight savings so the post time may be Mountain or Pacific depending on the time of year.

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#1 REBUTTAL Individual responds

Aetna questions

AUTHOR: Promises7 - (USA)

I'm a senior citizen and until this week have been happy with Aetna. However, I am now finding

they lied to me in 2015 and 2015.    I'm a very high risk woman with six breast cancer patients in my

family. I was told by Aetna in 2014 that they coverd 3D mammograms.  They also told my mammogram

center.   Now they are back tracking and saying they never told me this in either year.

I will go back to regular mammograms and stop going to a speicalist in the field.   As the person

in our family who did most of the care for two patients, I feel robbed.    However, with the way

this country is headed, giving benefits to anyone who asks, though illegal, I'm not surprised.


Do not go to Aetna.   They just lie.

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