• Report: #774075

Complaint Review: Aetna Life Insurance

  • Submitted: Wed, September 07, 2011
  • Updated: Thu, May 24, 2012

  • Reported By: Aetna Victim — Morton Pennsylvania United States of America
Aetna Life Insurance
PO Box 14554 Lexington, Kentucky United States of America

Aetna Life Insurance Aetna, Aetna Long Term Disability, Aetna Disability Insurance Company ripoffs, liars, fraud Lexington, Kentucky

*General Comment: Insurance companies may refuse legitimate claims for long term disability benefits

*Consumer Comment: Have you contacted your state insurance agency?

*Author of original report: update

*Consumer Comment: I am confused

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Control #  622733

Aetna Insurance should have their license suspended and the state and Insurance corporations need to do a thourough investigation into how they fraudulently take peoples money without any consequences.  
I am once again writing to tell you that Aetna Life Insurance Company has again threatened to stop my LTD Benefits, stating that THEY found I am capable of doing some sort of work, even though my treating doctor has stated that I am totally incapable of work. (Letter from my physician enclosed). 

Today, August 3, 2011 I received a call from Peggy from Aetna Life Insurance stating that AETNA has determined that I can in fact return to some sort of work and they will stop my checks of $244 a month. This is AGAINST my treating doctors orders. 

For two years Aetna has attempted to stop the benefits, WHICH I AM ENTITLED TO, for my LTD, which I paid for through payroll deduction. Today, they have determined (without ever even seeing me) that I can go back to work, and they are stopping these benefits.  

In March 2011, my doctor was sent a Capabilities and Limitations worksheet which he filled out, (I am sending a copy), stating in writing TOTALLY DISBALED.
In April 2011, Aetna tried to say they were stopping my benefits because my doctor never responded to their letter.  When I told them that he did in fact return it because I have the certified letter to prove it, they suddenly found it.  

In May, 2011, another Aetna Rep called me and said they were going to stop my benefits because they never received an answer from my doctor. Again, I had a SECOND certified letter receipt stating that I had RESENT the doctors answers to them.

Again, they found that they had indeed received it.

 In July 2011, I received another Capabilities and Limitations worksheet from them.  (This is the same exact letter my doctor filled out twice and sent back to them since March), and again they stated they did not receive it.  

 Once again, I have a 3rd certified letter stating that I did in fact send it to them.  My doctor got to the point that he said he cannot continue to fill these out every 3 weeks for me.  Aetna is now playing God and saying I can in fact work.  

 I am seeking legal assistance in filing a suit against Aetna.  

Control #  622733

On October 20, 2010 I was notified by Aetna that I am to attend an IME, which I have absolutely no problem attending, other than transportation needs.  They scheduled me an hour an a half from my home, (which they claim is only 20 minutes), but I still have no problem with this.  I have had six surgeons tell me in the last year that I will need shoulder replacement before I can even think about working again.  

On October 22, 2010 I spoke to Heather Smith about having transportation arranged for me. She said she would look into it, but never called me back.  

On October 26, 201 I called Heather Smith back.  Left a voice mail. Never got a call back.

On October 27, 2010 I called Heather back once again.  Again had to leave a voice message.  

On October 28, 2010 I called Heather Smith back once again. She got on the phone this time and said she didnt call me back because the transportation company was supposed to call me.   That she had arranged transportation. 

On November 1, 2010 I still hadnt heard from any transportation company for my November 11, 2010 appointment.  I called and left another message with heather Smith.

On November 2, 2010, I left another message, voicing concerns about no hearing from the transportation company.  

On November 4, 2010, I again had to leave a message with heather Smith. Again I got no return call.  

On November 8, I left yet another message for Heather Smith.  

On November 9, I called and left Heather a message, and then called back and asked for her supervisors name.  They said it was Jeremy Lickenstein.  

On November, 10, 2010 (today), I have left Heather Smith one message, and Jeremy two messages voicing my concerns that I have no clue what time, or who, or even if someone is picking me up tomorrow.  As of 2:00 pm I have yet to hear back from one person from Aetna.  

To me this sounds like Aetna may be attempting to purposely make me miss my IME and then claim that I did not attend what they are entitled to.  I also have some concerns of not knowing who will be coming to my house at 6 or 7in the morning, especially with children in my home.  

This report was posted on Ripoff Report on 09/07/2011 04:24 PM and is a permanent record located here: http://www.ripoffreport.com/r/Aetna-Life-Insurance/Lexington-Kentucky-40512/Aetna-Life-Insurance-Aetna-Aetna-Long-Term-Disability-Aetna-Disability-Insurance-Company-774075. 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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Updates & Rebuttals

#1 General Comment

Insurance companies may refuse legitimate claims for long term disability benefits

AUTHOR: SonjaKathryna - (United States of America)

Hi, my name is Sonja, & Im with the disability rights group from Sokolove Law.  We have been reviewing thousands of potential claims where insurance companies like Metlife refuse long-term disability benefits to someone who has a legitimate claim. Too often, legitimate claims are denied
because insurance companies look for every possible legal and technical angle available that will allow them to deny a valid claim. When an insurer does not live up to its end of the contract, they act on what is called bad faith. 

For folks interested in learning more about bad faith practices of insurance companies, there is great information available at http://awe.sm/5o82i. If your claim has been rejected, I want you to know your rights and options. Call our office toll-free at 800-581-6943 to learn about your options and receive a free legal consultation.
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#2 Consumer Comment

Have you contacted your state insurance agency?

AUTHOR: voiceofreason - (United States of America)

I assume all states have an agency overseeing insurers. When I resorted to complaining to the state, with State Farm, it worked like a charm.
Also, don't want to put you out physically, but what happened between last November and now. Did they ever arrange the transportation?
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#3 Author of original report


AUTHOR: Aetna Victim - (United States of America)

Sorry about not mentioning that.   My injuries are to my shoulder (cannot raise above my chest), my neck and my elbow.  All are being treated by my dr still.  I am getting injections every so often, and on pain killers and a stim machine in my home.  I did a year and a half of therapy which did nothing.  I need total shoulder replacement if I ever want to have 60 percent use of my shoulder again, but every dr has said Im a canidate, but too young at this point. 

One Aetna Rep told me since I can write letters and type, I am not diabled. 

Aetna has NEVER met me.  Not one person from AETNA has EVER EVER met me.  So how can they possibly say Im ok to work????

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#4 Consumer Comment

I am confused

AUTHOR: Stacey - (U.S.A.)

After reading this report I have no idea what you disability is because you never stated.  Also all the calls back and forth are almost a year ago.  I will agree Aetna sucsk because I have their insurance - they deny claims, EOBS have not one ounce of explanation in them and even deny what is covered without deductable ie: yearly physical.   Can you elaborate on your situation?
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