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Aetna Experience   Message List  
Reply Message #11096 of 19789 |
Re: Aetna Experience

Personally, I think UHC should be ranked at the bottom of any list you
are considering. I've had the misfortune of being force into UHC
before I retired and now again after retirement. Although they are
mere "administrators" of IBM's money with regards to employees and
retirees, my experience is that they are slow in paying for legitimate
claims, make false representations to cause delays of claims through
resubmittal, and use incorrect schedules to make payments from.
Recently I spoke with the insurance department person at my doctor's
office about Aetna and UHC. She gave a thumbs down on UHC's practices.
Recently UHC payed an out of court settlement to one of the states for
failure to pay claims by claiming the insured used a non-network
doctor when in fact, they had.

One of my doctor's said UHC failed to pay him from the proper payment
schedule for an in office procedure, instead paying him from a
previous year's schedule in which the procedure was a hospital
outpatient procedure, shorting him about $2000. Even the State
Insurance Commisioner could not force them to correct it.

In 2000, I was insured by Aetna, when my wife was admitted to a non-
network hospital in Hawaii. Even though they didn't pay until they
were billed twice, they paid 100% of the bill after my copay. Other
than that incident, I had no problems with Aetna, and I used them for
a few years. Even the Aetna Dental DMO worked well. And I never
encountered any office that wouldn't accept Aetna.

You should note Aetna may be different in each state (the same for
UHC, I suppose), because the insurer is licensed separately in each
state and has it's own individual identity apart from the others.
Formally, ours is called Aetna Oklahoma. Can Aetna Connecticut be
different? I haven't the foggiest idea.

Being on Medicare, when my wife reaches that pinnacle in her life, we
will be looking at a Medicare Supplemental plan to join. But I've
already ruled out AARP's offering and Secure Horizons because they're
both either owned or administered by UHC.

Hope that helps.

--- In ibmretiree@yahoogroups.com, "suenjim2000" <suenjim4@...> wrote:
>
> NetBenefits and the IBM letter talk about offering two new Aetna plans
> for Medicare eligible retirees.
> I go into a lot of doctor's offices that say that they don't accept
> Aetna. For that matter they say the don't accept United Healthcare
> either - but I assume that's where UHC is primary.
> What experience with Aetna is out there?
>





Thu Oct 25, 2007 6:30 pm

jschuler11
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Message #11096 of 19789 |
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NetBenefits and the IBM letter talk about offering two new Aetna plans for Medicare eligible retirees. I go into a lot of doctor's offices that say that they...
suenjim2000 Offline Send Email Oct 25, 2007
5:05 pm

Aetna has good and bad points. There are a lot of doctors who do not deal with them based on very low rebursement rates. There were issues earlier this year...
ibmretiree2006 Offline Oct 25, 2007
5:11 pm

Personally, I think UHC should be ranked at the bottom of any list you are considering. I've had the misfortune of being force into UHC before I retired and...
jschuler11 Offline Send Email Oct 25, 2007
8:17 pm

United Healthcare and Aetna are indeed ranked at the bottom with companies like IBM. jschuler11 <rjschuler@...> wrote:...
Blue C
yc4gp Offline Send Email
Oct 26, 2007
1:37 am

Are you trying to say IBM is a "bottom feeder"?...
Bob
bobc4012 Offline Send Email
Oct 27, 2007
8:34 am

My ENT in Austin, TX won't accept Aetna [Non-text portions of this message have been removed]...
RichardDyar
jrdyar Offline Send Email
Oct 26, 2007
4:59 pm
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