Denied by Aetna

[freemommy×4 65]

Well the nurse from Aetna called this morning. She said that even though Texas requires a 72 hour turn around because my info was submitted on a Fri it had to be in be noon. So I guess they get to make the rules up as they go along. I am going to wait and see what happens with my appeal and then look into an IRO if I get denied again.

[Inner Surfer Girl 12,015]

So sorry to hear this.

I recommend you write down every interaction you have had with them and every inconsistent statement so you have a record for your appeal.

[freemommy×4 65]

Thanks @InnerSurferGirl!

[freemommy×4 65]

Today is the day Aetna has to return a decision on my appeal.

I called yesterday...they said it was still open. Called just now and they said they won't know anything until 2pm, but that a letter with their decision will be sent to me. I don't want to wait 7-10 more days on a letter. So my question is...should I continue to call them today to try and get an answer? Will they tell me over the phone? Maybe I am reading too much into this...but it feels like a bad thing that they are so hesitant to tell me anything over the phone!

[ar1kah12 3]

Have you continued to call them? I would have. But that's pure opinion.

[freemommy×4 65]

@@ar1kah12 Yes I did! Lol And was approved today! Dec 8th is my surgery date!!

[Tobeornottobe 89]

Congrats!

[ar1kah12 3]

YAAAAAAAY!! Congrats

[freemommy×4 65]

Thank you both!!❤❤

[lck 0]

happy for you!

[freemommy×4 65]

@Ick Thank you!!

[atontor 1,068]

Hi. Definitely call them. I worked for a insurance company and they do things like that. Keep on top of them.

[Indygirl1 14]

I was denied by Aetna twice. I had to have a peer review and file a level one appeal and a level two appeal. This process has taken close to a year and finally last week I was approached. Don't give up keep fighting Aetna .