Aetna Medicare Chairman and Chief Executive Officer Mark T. Bertolini Charged a entire months co-pay for 1 day of pre-packaged prescription. Hartford Connecticut

01)   I filled a prescription for Tresiba insulin pens:

02)   1 box contains 5 pens @ 300 units per pen, total units per box 1500 units.

03)   Co-pay for 30 days = $47.00

04)   Co-pay of $47.00 divided by 30 days 1 day = $1.60. (2 days = $3.20,  3 days = $4.80)

My prescription:

On July 07, 2017 I had a prescription for 2 boxes of Tresiba insulin pens I was charged and I paid $141.00 co-pay.

This is how Aetna calculates the co-pay for my prescription:

a)       The 2 boxes total contained 3000 units of insulin.

b)       3000 units divided by 48 units = 63 (rounded) days

c)       For 3 days I was charged a full month co-pay of $47.00., where I should have been charged $4.80 for a total of $98.80 for the 63 day supply of insulin. The difference is $42.20.

 I have been cheated out of $42.20 each time I had this prescription filled; multiply that amount by 20,000, customers and amount comes to $844,000.00; 10,000 customers will equal $422,000.00. I HAVE TO WONDER HOW MANY OTHER SENIORS ON FIXED INCOM HAVE THEY DONE THIS TOO??

 (Please keep in mind that the customer number could be well above the number I have given as an example and the amount could be well above $42.20.)

 That I am sure the $42.20  is not being paid to the pharmaceutical companies, so where would all this money be going if not to Aetna and I am sure Aetna is not paying taxes on (not declaring this as income, since it’ coming in under co-pay payments). This fraud only pertains to per-packaged medication.

 I was made aware of this issue by sheer accident. Aetna never tells its customers how they calculate pre-packaged medication. WHY?

 If you purchased a 12 oz. cup of coffee for $4.00, and realized that you were only given 3oz. of coffee, and the server would not return your $3.00 for the additional 9 oz. or give you 9 oz. of coffee. What would you do?

 You would have to call it FRAUD, DECEPTION, SWINDLE, a CON and a SCAM.

 To my knowledge there is no other industry or business that charges its customers like this in the United States of America? I certainly never agreed to pay Aetna $47.00 for 3 days of medication. This is a fraud allowed by MEDICARE and we have no one to help us.

This is what is happening to Aetna customers (and there may be other insurance companies doing this as well). As a result of Aetna’s SCAM I have been pushed into their GAP, which means I paid $395.79 co-pay where I use to pay $141.00. Ask how many other people have been pushed into this same position, I know I am not alone.

 Furthermore why is Aetna cheating senior citizens; retired seniors receiving Social Security (no COLA in 3 years), and others relying on medication to keep them ALIVE. WHILE THE C_O ARE BRING IN EXCESS OF 1 MILLION DOLLARS YEARLY? Where is this overage going? Who is the money going too?

 Ask:       

1) How many customers are affected?

2) How much money is involved?

 3) How has Aetna been applying this income (coming in as co-payments) on their accounting books?

 4) How many years have Aetna been collecting this income?  

 5) How much if any of this income has taxes been paid on?

FOLLOW THE MONEY?