this post was submitted on 09 Dec 2024
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My wife... She got an infection which required a toe amputation before the the infection could turn septic, enter her bloodstream, and kill her.
First Aetna tried to claim the surgery was not medically necessary (really? Where's your medical degree?) then they tried to claim our in-network hospital wasn't covered because they used an out of network surgeon.
Sound familiar?
https://www.stopinsurancedenial.com/services/insurance-company-denials/aetna-health-insurance-denials
Paid the bill then continued to fight with Aetna for a full calendar year before they went "Oh, hey, you're right..." and refunded me.