Rekeca 0 Posted June 13, 2011 I just have to vent somewhere. I wish I wasn't at work so I could scream to the top of my lungs. I am so mad right now. I submitted my information to Aetna on May 11th. They promptly denied me stating that I didn't meet the weight criteria for two years. I submitted an appeal on 05/27/11 and showed that I met the criteria. So I just happened to call Aetna today just to check on the appeal. I wasn't expecting anything because they said it would take 30 days. To my surprise they had already denied my appeal, & get this, the appeal was not denied for what it was denied for the first time. This time they claim that I didn't get psych clearance. THAT's A LIE, I told the rep (It just slipped out of my mouth). So she claim I have to do a second level appeal. I said for what the info has already been submitted and I was cleared. I said let me speak with someone in appeals so I can let them know that they have the info. They don't accept phone calls. WTF. I am pissed. I feel like they are giving me the run around So I called my surgeons office and called the therapist to make sure I was cleared and that the info was submitted the first time which it was. I just want to take my fist and pound the top of the appealers head. Aetna couldnt even tell me how long a second level appeal takes. I am so MAD. So now I am going to fax my clearance to Aetna my self. I don't trust them. they are evil. Can't you tell I am mad...Any way thanks for letting me vent....... Share this post Link to post Share on other sites
Neoteric Verve 65 Posted June 13, 2011 Anytime. YOu can vent and cheer here as often as you wish. Scream too! Share this post Link to post Share on other sites
wishes 125 Posted June 13, 2011 Oh wow, Aetna is really doing a number here. I hope you get it appealed this time. Just stay strong. Share this post Link to post Share on other sites
Rekeca 0 Posted June 13, 2011 Thank you for the kind words Share this post Link to post Share on other sites
former_vbg 198 Posted June 14, 2011 I just have to vent somewhere. I wish I wasn't at work so I could scream to the top of my lungs. I am so mad right now. I submitted my information to Aetna on May 11th. They promptly denied me stating that I didn't meet the weight criteria for two years. I submitted an appeal on 05/27/11 and showed that I met the criteria. So I just happened to call Aetna today just to check on the appeal. I wasn't expecting anything because they said it would take 30 days. To my surprise they had already denied my appeal, & get this, the appeal was not denied for what it was denied for the first time. This time they claim that I didn't get psych clearance. THAT's A LIE, I told the rep (It just slipped out of my mouth). So she claim I have to do a second level appeal. I said for what the info has already been submitted and I was cleared. I said let me speak with someone in appeals so I can let them know that they have the info. They don't accept phone calls. WTF. I am pissed. I feel like they are giving me the run around So I called my surgeons office and called the therapist to make sure I was cleared and that the info was submitted the first time which it was. I just want to take my fist and pound the top of the appealers head. Aetna couldnt even tell me how long a second level appeal takes. I am so MAD. So now I am going to fax my clearance to Aetna my self. I don't trust them. they are evil. Can't you tell I am mad...Any way thanks for letting me vent....... I'm not promising I can change anything about what Aetna has done already, but I have Aetna and I might be able to offer some insight on this situation. Send me a PM if you want my help. I don't trust insurance companies either, but call it luck or whatever, I have been able to navigate some of the "inner departments" when I had some issues that I needed help with and I got some great results. Like I said, I can't change what they have already done- but I might be able to help get you to the right people to help you. Share this post Link to post Share on other sites