Aetna

Aetna denied my appeal and now I'm out of money

Reviewed by Caretha M on December 8th 2016   Verified Policyholder
I was placed on loa June 2016 for medical and behavorial health issues my case was in process for an ext for the behavior health and the case Manger waitem a week after the my deadline to deny me saying the documents sent weren’t enough instead of reviewing it before hand and giving me enought time to get it in…I started my appeal in Sept when the case was denied and the case Manger drug her foot from Sept until today she kept saying I’m going to need more time more paperwork then I need to speak with the drs all of this I complied a d she waited until today the last day of her ext and denied me I also had surgery after the appeal last month which I was denied for due to them sating it was under the same case I’m out of money because I had to pay ins for those months I’m out of savings from catching up on bills because these ppl st aetna want to play god and say what’s serious
Reply
Sent on December 8th 2016 by Attorney Stephen Jessup

Caretha, if Aetna has denied your administrative appeal your only option at this point would likely be to file a lawsuit under ERISA. Please feel free to contact our office to discuss same.