Aetna Insurance Consumer Reviews - Page 2

BUFFALO, NEW YORK -- I'm 36 yrs old and had my first mammogram on November of 2008. Our Aetna insurance policy paid $340 for the test 100%. In February 2009 Aetna decided to reverse the charge and not pay the claim. My Aetna insurance policy will not cover routine baseline mammograms for anyone under the age of 40 yrs!

The AMA recommends that all women between the ages of 35-40 have at least one baseline mammogram before the age for 40 for pre-cancerous screening etc. I cannot believe Aetna would deny women the right to have this screening??? As a result I filed an appeal and provided a letter of medical necessity from my physician and Aetna still denied my claim again. Aetna is a lousy insurance company that does not care about women's health issues. Shame on you Aetna!!!

MINNEOLA, FLORIDA -- I had to take my 13 month old son to the emergency room because he fell with the handle of a spatula in his mouth and bled profusely from his nose. Luckily by the time we got there, it stopped bleeding. We stayed 2 hours. The doctor finally arrived and looked in his mouth with a flashlight, and pronounced him fine. We have private insurance through Aetna because this is $83/month vs. $400 per month to add him at my work and $900 per month to add him at my husband's work.

When we got the bill, the doctor charged $209 to look in his mouth. Fine. Then they added on an "insurance adjustment" of $69 and the Amount to Pay stated $278. I called and asked if the "Doctor Charges" were $209, how could I possibly owe more? They stated that uninsured people would just pay the $209 but insured people pay a fixed fee that is pre-arranged with the insurance companies, and my insurance company's arrangement is $278.

I stated I do not wish to claim this on my insurance - I wish to outright pay the bill as if I had no insurance. They told me that is not possible because I obviously do have insurance and you can't elect after-the-fact not to use your insurance. This sucks big time! Has anyone ever had this problem? I am afraid if I pay just the $209 it will be turned over to collection and hurt my credit record. Please advise.