Aetna

Aetna thought my orthopedia surgeon's restrictions weren't good enough

Reviewed by Hayden Gallo on December 23rd 2013   Verified Policyholder
I have a short term dissability claim with Aetna. Every time I have a doctors apointment they demand paperwork that day. They are constantly closing my claim. When you talk to them it’s a different person every time. An orthopedic surgeon sent them limitations on my torn tricep and they say I don’t have a disability. Now my company will not take me back and suspended my medical benefits because of Aetna but my employer wil not take me back untill I have clearance from my doctor. I guess they have surgeons looking at paperwork? When asked if he recieved the 15lbs restriction he said yes. That’s from an orthopedic surgeon I said. He said that’s not enough. I had my doctor, and a physical OD send him paperwork. He said I would have to file an appeal.
Reply
Sent on December 23rd 2013 by Attorney Gregory Dell

Hayden, it sounds like you are dealing with someone at AETNA that is playing games with you. Aetna likely had a nurse or an internal medicine doctor review your medical records. You must immediately request the claim file from Aetna and you will see everything they did to deny your disability claim. Contact us privately if you would like assistance.