Scan Medical Insurance

I need information on AETNA medical insurance please? I'd like to know if anyone could give me information on AETNA. They are a medical insurance company an I'm helping someone with there report an I'd like to know if anyone could give me information on it or a website I may go to. Thanks to all who help and God Bless

Does Aetna medical insurance cover fertility procedures? Does Aetna medical insurance cover fertility procedures?

i quit from my job in june and my aetna medical insurance ended on june 30th 2009? how do i continue my medical insurance in order for me to be covered?

How much for an MRI with Aetna Insurance? I have Aetna medical insurance (NAP: Choice POS II) and I need an MRI for my knee. Also, will Aetna do an investigation on this before insuring me since I've only been with this company for one month? Thank you.

are there hospitals in louisville, ky accepting aetna medical insurance card?

New Aetna Medical insurance? Don't have the cards yet, just temporary printed ones. They only have group numbers on them, no member ID numbers. Any idea what I'll need from Aetna to provide to my son's pediatrician to get his 1 year check up covered by the insurance?

Where do I find a Durable Medical Equipment form for Aetna Insurance? My boyfriend needs the form to fill out so his Aetna insurance can give him the INR device that he needs to monitor his INR level due to a neck injury.

Aetna Medical insurance provider application web site? For doctors and hospitals

Medical Insurance Aetna PPO. Please, answer me.? Folks, My employer is charging me $280 a month for medical insurance and he keeps raising it. Do you think guys he is not fooling me?. He said this medical insurance is the best. I am not married, so this medical insurance covers me only. Please, advise?. How much you usually pay guys for a medical insurance through the employer? Thanks,

AETNA PPO CHOICE MEDICAL INSURANCE? Does anybody know if the above insurance is any good. Is this a good choice to carry from my employer. Also, a possible choice is Aetna Health Fund. Which provides better medical coverage.

Did your medical insurance pay for lap band procedure - Austin Texas? I am curious to know if medical insurance really pays for the lap band procedure. I am currently with Aetna insurance. Or do you know of a doctor who can really get the insurance companies to pay.

If I purchase the Aetna Supplemental Health Insurance, will they still charge me for the Medical Plan ? It is mandatory that I purchase ANOTHER health insurance for my college. *(Since they don't accept mine). I'm trying to find the cheapest one. If I purchase that one, will the one that automatically billed me for be waivered?

Would getting a 2nd medical insurance plan for my wife make our pregnancy any cheaper? she has insurance through her work already and i recently started a new job and still am eligible for my benefits. would my insurance Aetna cover any copays or deductibles?

What is the official name of my medical insurance? Ok, my medical insurance says a lot of things: Aetna Signature Administrators PPO, UMR, PPO Plan..... My question is: if I ask a doctor what medical insurance they accept, what do I say??? I'm really new to this whole thing and I have to learn on my own (asking parents/family is out of the question). Can someone explain?

what treatments do medical insurance covers ? I have aetna med insurance.

I am a senior. I want to know about Medical Rx Insurance Plan of Aetna.?

HELP my find the medical policy number for aetna? i am filling out a release form and they are asking for the medical insurance policy number, also the insurance company address....i really need help asap!

What is the difference between a PPO and a POS for medical insurance? My husband's company just changed medical providers, so we're either going from Blue Cross/Blue Shield PPO to Aetna "Net Select" POS.....OR dropping it all together (weekly payments are double for the new plan.) My main question is what is the difference between a PPO and a POS?

What is the best medical insurance company? i'm going to get personal medical insurance cuz my job does not hav benefits, any suggestions for good companies to check out? rite now i hav aetna, are they pretty good compared to other companies?

Can I add my pregnant fiance to my medical insurance once we're married? I have Aetna. She's just about 5 months pregnant, she was going to get dropped from her insurance and she is currently on medi-cal for the prenatal care. Is it too late to add her to my plan for her to be covered during the rest of the pregnancy? I tried calling Aetna right now but the it was past closing time lol

My medical bill not getting covered by my insurance company (Aetna) when they said they would cover it.? I was in a car accident and didnt have insurance at the time and waited a two months until I was covered by my work which provided me with PPO insurance under Aetna. I went to the doctor in Tucson at UPH sports medicine. I got Xrays and that was covered and then they said I needed a MRI. I repeatedly asked if the MRI would be covered and they told me yes and said the insurance company approved of the MRI. I got the MRI and a couple of months later they sent me a letter asking about pre-existing condition and I sent them an email with the information they needed and they didnt reply back to me. Then I found out recently they sent my bill to collections...That is not right, I would like sum advice on how the handle the situation. Thanks

If Canada switched to private medical insurance, would Canadians be happy or upset? If Canada went to the USA's system where you pay deductible plus out of pocket premiums from healthcare providers like Aetna, BlueCross/Blueshield, and have private health care corporations manage care assets. And you pay about $3,500 for an MRI scan. Or would you prefer the current system that's been implemented in Canada for 45+ years? Or some other hybrid of the 2?

How much would a $200 skin medicinal cream cost with Insurance? I just went to the doctor today for eczema and she told me to buy this cream called topicort. But its $397 brand name and $197 generic. I can't believe this price..but I need it. The problem is I am in the process of applying for my health insurance by Aetna.But it will be too late by the time I get it. I never used medical insurance before..how much, approximately, would I have to pay, lets say if I had insurance with Aetna?

does aetna health insurance cover pregnancy costs (checkups and delivery)? i am still under my parents medical insurance plan because i am under 21. would i be covered for costs of delivery and doctor appointments?

is AETNA a good health insurance to get? my benefits package came from work, it offers medical from Aetna is that a good health insurance provider? What about Guardian Plan ppo for Dental??

Need private health insurance, what company won't decline for medical conditions? I work 38 hours per week but my employer won't provide health insurance because I'm not 40 hours. I have Multiple Sclerosis and desperately need health insurance but I make too much for medical assistance through the government. I've tried obtaining private health insurance but Aetna declined me. Are there any insurance companies that will actually work with people with medical conditions??

Pre-existing condition - medical insurance? I am in the process of switching jobs. I have a spine injury and will eventually need surgery due to a car accident. My question is since this is an existing condition will I have to wait an extended amount of time for coverage to kick in from my new insurance company, Aetna. Will they even cover anything at all? Just a little background I live in illinois and currently all my medical expenses related to this have been paid my UHC and they will seek reimbursement for the insurance co. of the responsible party. I hoping there is not considered a "pre-existing condition" as it is related to a car accident and they will eventually get reimbursed.

Why am I(the spouse) not listed on Aenta's online account for medical insurance? My husband signed up for medical insurance through his place of employment in Dec. I have yet to receive any information, so I went online at aetna.com to register. Well, I was able to register him. However, the list of covered members did not include me. So I tried to register using my own information and it said I was not authorized. It's already been taken out of his check, for him and myself. What could be the problem/?

Medical Diagnosis tests billing - regarding? Hi..we are in US and have Aetna Medical insurance. Have to take my child for some medical tests. I want to know, whether all the charges will be beard by Aetna or do we need to pay for any specific medical tests. As in clinics...do we need to pay any co payee amount? More information regarding where we (not the insurance company) have to pay amount (like in an emergency. For an emergency we ended up paying 1000$ where the bill was 3000$) is welcome, so that we will be prepared with money. Thanks for your help in advance.

SUNY Buffalo Medical Insurance Waiver? Help!? I am a resident in NYC but I go to school outside of the city in SUNY Buffalo. I recently filled out a medical waiver but it was denied. Aetna (the student health insurance company) sent me a verification form to be filled out by a health insurance representative. In my case, I need someone from Fidelis Care to fill it out. I went into the insurance company office the other day and a rep. filled out the paper. Everything was well until the last question on the form. It was a YES/NO answer thing that stated: "The subscriber's plan is currently active and I agree to maintain health insurance coverage through the entire 2011/2012 academic year." The rep. answered "NOT APPLICABLE" and the reason was <Local Department of Social Services handles recertification process> I do not understand what this is suppose to mean. My health insurance plan is active and I'm positive about it.

Affordable Dental Insurance in NY? I live in Queens NY and I have no dental insurance. My mother works but she doesn't make a good amount and my father is unemployed. She has medical insurance, Aetna, but it doesn't cover dental and I need to have 1 stupid root canal done and it will cost 2000 w/o insurance. Anybody, I need help. I am also a student in college, so any help, I really need it.

Are medical procedures such as heart attack, cancer, or something major very unaffordable even with insurance? I have great medical insurance and dental, through Aetna. The only downfall is that they ONLY cover 50% of psychiatric/psychology. Which is a shame, since I truly believe that this country can really use a better mental health care system. I've unfortunately been to the ER countless of times, due to being sick and asthma, but I'm working at better maintaining my health. The total expenses weren't too high, they were anywhere from $400 to $4000 ish, for one visit, the $4 grand one including full xrays, CT scan, ekg, etc, and with insurance they all came down to about $50 to $200 ish, after going through insurance, so it's not unreasonable, and they DO have payment plans. However, what if something major happened. Surgery, heart attack, cancer. Wouldn't that catapult the total costs into the $100,000 range? And even if I have insusrance then, how much would they cover? This really scares me. Should I be saving alot just in case? How do we prepare for this? Also do I need separate insurance to cover an extended stay in a hospital just in case, or is what I have now all you need? I'm confused, and scared, and what to take preventative measures before something awful happens/if something were to happen. to the first replyer: I understand that, but if you had a major heart attack or ongoing treatment, hospital stays for a long time, cancer, I doubt you'd just pay your $50 copay and that's the end of it.

Will Aetna cover my suicide ? I had a suicide attempt that landed me in the hospital (I did not call the ambulance, a friend did when I told her about it). The fire dept charged us $756 for the ambulance and the hospital is charging us over $4500. I have Aetna for medical insurance... Will it cover my ambulance/hospital bills?

Which insurance is better. .. Aetna PPO or Blue Cross Blue Shield of Texas PPO ?? i need to choose between those two for my medical insurance and dont know which to choose. help me out please??

does any one work at a medical clinc and verify insurance? i did my extern at a family clinic and we verified insurance by different website and now im working at a dental office and they didnt even know about the websites but i forgot the websites to verify insurances like bluecross blue shield aetna ppos etc. i know the website for medicaid.. the rest they do by phone which sucks because in the website it was the samething.. if you know any websites please let me know..

If I get a government job, does government pay 100% of my medical insurance premium every month? for PPO coverage? Which insurance company do they use, bluecross or aetna etcetera? I live near Los angeles. What's the best government job to get? I am 23. Which government position is currently available?

Is anyone as upset as I, re: raising cost of medical insurance? I was told today that it will go up over $300 in 2010. Bye,bye, Aetna.

We are going on a Mediterranean cruise for 12 days. We have Aetna insurance (POS Choice II)--is that enough? Or, should we purchase travel insurance from CSA for $84 each? I just called Aetna, and they cover any medical related emergencies that we may encounter. Cruise ship's infirmaries are out of network, so my plan covers me at 75% after a deductible. If I need an emergency room visit, then that would be covered at 100% after a $75 deductible. Maybe a better question is, if we should get travel insurance, how does CSA stack up against TravelGuard, Insuremytrip, and others?

Who should i ask for help with filling out my health insurance ( dental and medical ) papers? My employer gave me the Aetna Forms to fill out. But there seems to be a few options I don't understand. Is it ok to ask my employer to help me with them?Aren't they the right people who can help me out with it? Thanks.

What is stopping competition in medical insurance field? Aetna, Cigna, United Health Care, Kaiser (for example) are licensed to sell insurance in all 50 states , what exactly stopping them to compete with each other ? http://insurance.freeadvice.com/reviews/21/info/AETNA%20Insurance/ http://insurance.freeadvice.com/reviews/49/info/Cigna+Health+Insurance/ http://insurance.freeadvice.com/reviews/311/info/United+Healthcare/ http://insurance.freeadvice.com/reviews/96/info/Kaiser+Foundation+Health+Plan/

How long does it take to approve a test like Breath test for h pylori by an insurance company like Aetna HMO? My husband was asked by the gastro specialist to do a breath test for h pylori bacteria, a little more than a month ago. I called his doctors office and his medical network and for almost a month they kept telling me that they had not recieved the request from the doctors office. After blaming each other the test was finally approved but was approved for the wrong hospital as that hospital does not conduct that test. The person handling the case at the doctors office is really mean and just is not cooperating. She even went to the extent of saying its just a breath test and it is not very serious. Do you think I should send a written complaint to the doctor abt his staff's handling of the problem. Now They say that they have re-submmitted the papers to the insurance network. Meanwhile my husband is suffering from the stomach pain. I really dont know what to do, bcoz the whole process has started again. Does anyone have any info on pre certification. Sorry abt this long question.

Car accident--can defendant's insurance company get access to ALL medical records through my health ins. co.? Is there anything I can do if I want to keep some records private? Or do they get full access to any medical claim I've made with my health insurance company, Aetna?

trying to figure out how to get insurance for my 3 mth old? so my husbands work offers Aetna insurance. however, we were denied medical insurance for my now 3 month old son because they said when we filled out the online application for it they said that we left some of it uncompleted. we appealed that about 2 months ago and still they are refusing to give him medical coverage. we can reapply for the coverage in May, which will be a year from the time of his birth. i've checked in to trying to get medicaid thru the state here where we live, but they say that my husbands gross income before taxes is over the limit, however, we cannot afford to just pay for his medical expenses out right. he is already 3 months old, he has been seen by his pediatrician twice since we left the hospital, but at the last visit is when i was informed that the insurance had denied to pay on his bill because they were not covering him. the insurance never contacted us to let us know before we started taking him to his doc visits. because of that, he has not been back yet, and has not started receiving his shots. i am really concerned that we will not be able to find insurance for him. does anyone know of any way that we can get him medical insurance for a year until he is eligible for coverage for the Aetna insurance? please someone give me some ideas. i am just really beside myself. my baby boy need insurance, he needs to be able to be seen by a doc, and he absolutely needs his shots... thanks.

im married and my wife is an illegal alien, is she still eligible to be covered under my medical insurance? i have aetna which is provided by my employer.

Medical insurance question? I have insurance from Chickering. It is a part of Aetna. I have been going to the obstetrician and recently received a hefty bill stating that my claims have been denied, although the ob's office called the insurance company on my first visit, and was told that I would be covered. Has anything like this happened to you before? Were you responsible for the bill? I have tried calling the insurance company, but could not get a human on the phone. Hrmph!

I needed Medical attention while i was on vacation and i recieved a bill for $613? I recently needed medical care while i was on vacation. I did not have my insurance card with me at the time so they charged me without one. I was billed $613. My question is with my insurance Aetna how much will the bill be cut down too? Im stressing it big time serious answers only please!

I can't afford to buy med for kidney transp patient with Aetna insurance. limit deductable. I need help.? I have open access aetna select and employer contribution amount $1,500.00 My son need medical, lab and medicine for long term. What should I do?? Please I need help.

What is the purpose of paying medical insurance? How was society indoctrinated into believing it's necessary? I graduated from college a few months ago and was recently hired at my first "real job." You know, full time with "benefits." It seems the only insurance my company offers is Aetna, and that costs $100 a month. Now, I am thinking, if I pay insurance every month, I still have to pay a small fee when I visit the doctor, and if I have a major illness or accident, I will have to pay a LOT because no matter how long you've had insurance, they will not cover everything. This why I wonder, what is the point of having insurance? I bet you that if I kept my own independent account for health only and put 100 every month, I would have more than enough to cover something major if it were to happen a few years down the road, than if I pay a greedy insurance company. I don't know, the system is really messed up. I would like to hear what others think and get some advice, because I'm new to this whole ordeal of having to choose my own insurance. I see it as a pointless expense and think that I may end up saving more if I pay the doctor when I do need it, rather than supporting a group of big whigs who made us believe we need to have insurance. Please help. What do you guys think? I need to hear your thoughts.

medical insurance questions? My husband has to choose a new insurance with his new job, and the best choices are an HMO thru Aetna, and a PPO. The PPO has a deductible, though. Now I have heard bad things about HMO's, and I'm not really sure what a PPO is. I've never had a deductible that I'm aware of in any insurance we have had. When do you pay? Is it all out of pocket immediately, or do you just pay the co-pays until the deductible is met? When is the deductible not paid? Since this is new insurance, I'm not sure where to get this info, does anyone know anything about this kind of stuff? Any help will be greatly appreciated.

how to verify insurance benifits in aetna? im working in a urgent clinic n its after business hrs n when i call to verify insurance the machine can never help me get benifits..im a medical assistant that never done the front only back office. can someone help me plaese!! =( i feel stress..

I just turned 19 and now have no medical insurance...? am i screwed? i have a student aetna plan through my school but what happens if im not in school?

Medical Insurance timely rules? What are the timely filing rules for Medicare, Medicaid, BCBS of NC, United Health Care, Cigna, Aetna?

Is a surgery considered an office visit covered by medical insurance? I have Aetna PPO, and I have never used it. My card states that Office Visits are $30, and Specialty Office Visits are $35. If an Oral Surgeon is considered a covered doctor by my plan, does that mean the surgery the doctor performs is considered an Office Visit and would be a $30 co-pay?

My Aetna Insurance isnt paying their agreed share of my bills!? I work for red lion hotel, I signed up in November of 2009 for health, dental and medical insurance though Aetna. They take exactly $8.90 out for Dental, $17.02 out for Medical and $2.00 for vision from every one of my paychecks. So I Pay $55.84 per month for my insurance. I have seen a gyno and an eye dr. I called Aetna to make sure I was covered before I went to my appointments they said "yes"! I got a bill in the mail for my gyno app and I have to pay the entire Bill of about $200.00 I also have to pay the whole bill for my eye dr of $130.00. I called Aetna to find out why they will not pay the bills, they said well the gyno will not be covered because Aetna doesn't cover preventative care! I had an annual exam! They won't pay it! They said they'd only cover it if I was SICK!!! WTF! The Eye Dr. Appointment will not be covered because its not IN THEIR NETWORK! WTF I asked these jerks if they'd cover these appointments before I had them and they all said yes now they all tell me they will not pay after I had them! Of coarse I'm going to cancel my insurance but can I request to have all the money they have taken out from my paychecks back? since they didn't cover any of my bills and i never use the insurance? they have received $233.36 from my paychecks to pay for the insurance! I feel since they will not pay my medical bills like they had said they would I should get all that money back since I never got to use any of it! I also never used any of there services! My other problem is the hotel I work at doesn't really have an HR anymore they do but they don't so it's not easy to talk to my employer about this. The girl who was the previous HR didn't even give me my Insurance Cards, I had to ask the Accounting department to help me, they are just cards you rip out of the back of the packet. This company doesn't send you cards like Blue Cross Blue Sheild or othe companies do... Also I never got an ID # I was told to use my SOS, well that doesn't work either. I hate Aetna!

My 70 minute 2D ultrasound (with 5 minute 3D session) denied by insurance Aetna. Help? How does one deal with this situation. I did not request a 3D ultrasound. I simply asked the tech if they did them and she told me that she did them at the end of every ultrasound as a handout and they didn't file it with the insurance company. Well, they did. She spent 70 minutes on my 2D ultrasound, measuring and checking EVERYTHING... then she did 5 minutes 3D, even though she knew the baby was upsidedown and we couldn't see anything. Aetna talks about how they don't cover 3D, but they don't mention how they deal with 2D/3D... where 93.33% was spent on 2D for a serious medical history condition... Hmm... Anyone dealt with this? I have already reamed the hospital to resubmit the claim and have shaken my finger at Aetna for their lack of insight. This question was for people who have Aetna and who have had a 2D/3D denied or accepted by Aetna. Aetna denies 3D and accepts 2D... but what happens when 93% of your ultrasound is 2D and less than 7% is 3D?? As for the political response... I have no comment. I'm so traditionally right wing, my beliefs would make your head spin.

Do medical insurance cover for dialysis ? I have aetna insurance , and would like to know if it covers dialysis treatments ?

I don't have medical insurance because my employer doesn't provide, how can I get dental insurance ? My question is (because right now I'm concerned with my oral health more) are there any companies such as aetna, ect that will allow you to get on their dental program without having to be on their health insurance? I really need dental attention but honestly can't afford it

What do you think the WORST insurance provider is? I think AETNA...? So I just thought I would check to see if others have had this issue with them... I am pretty sure they deny everything on principle and then if the person is willing to fight they retract it. Normally I never go to the doctor - and the one year I have a lot of medical expenses I have to fight with these bastards.. Anyone else dealt with them and had bad experiences? Anyone had worse experiences?

what is aetna insurance customer care no? medical industry term

Medical Insurance Not Paying My Medical Bills? So last summer, I broke my ankle pretty bad, displaced fracture and at the time I had limited insurance. They claimed to pay up to 1k in ER visit, 250 for anaestesia, 2k in doctor visits, and up to 20,000 for secondary care. This happened last august and they JUST paid the ER 1000 dollars after I had to file some paperwork. This company is a subsidiary of Aetna, and instead of denying claims they just ignore them. At the time I was out of work for 4 and a half months because my job involved me walking and my car was a manual transmission. Usually they auto deducted my payments out of my paycheck every week but I had to pay them by credit card while I was not working. I have a receipt for my payments all the way to 11/9. They sent me a partial denial of my doctors bill on 11/16/07 because I was not up to date with my insurance and could no longer afford insurance as I just got a job back. My questions are how do I get them to pay and is physical therapy considered secondary care? The company is SRC, its quoted on the back of the card "SRC, an Aetna Company", I did everything the policy told me to do, I went to their website and used the approved doctors on their website, Your right on the 'limit'ed part but still they have to pay for what I bought into, I went to the physicans that were on their webpage, I went to the Physical Therapist on their web page, The only thing that wasnt there was the aneasthsia but its in the policy that I purchased for 250 dollars they cover. (which is definitely limited.) The thing is they havent denied the claims, they are just ignoring them. I have denied claim letters from after my insurance ran out for treatment after 11/9 but nothing before that. It took the hospital ER calling me and me calling them 10xs in 7 months for them to even get that payment out And its not workmans comp, god i wish it happened at work. and it wasnt sold to me as an individual its from my previous job that i had before i broke my ankle. its one of those pay us 80 dollars a month and we will insure you, (After all this I did my research and found out that you can get really decent insurance for this cost)

Does insurance cover teeth extraction for braces.? I have Aetna dental and medical insurance. i recently had to get 4 of my bicuspids extracted for braces purpose. I called Aetna ahead to see if the cost will be cover by insurance, they told me yes, it will cover 90%, also on my dental plan it says it will cover 90%. but when I went into the dental office, people from the dental office told me since it's for braces, insurance will not cover. but they didn't even bother to get down my information and call my insurance, so how would they know if it's not covered? I ended up paying with my credit card, cause i really need to get it done. i want to find out if the cost is covered by insurance or not, what should i do next? and if it's covered how do i get reimburse? thank you

Can someone explain (in everyday words) a HSA account for medical insurance.?(US Healthcare)? My husband works for Panera Bread and they offer the HSA only. We had aetna QPOS we had a family deductible and paid a premium every two weeks, and the employer paid a percentage too. Im hoping this HSA covers normal office exams (id our sons have an ear infection..etc) and Prescriptions? How you this work?

When is it okay to write off a balance on a medical claim? Scenario 1: Medicare primary allowed $85 on a $260 charge, paying $70, leaving $15 balance for the secondary insurance to pay. The secondary insurance (United Healthcare) paid $11.50 of the $15 balance, is it okay to write off the $3.50 balance or do you leave the balance for patient? Scenario 2: United Healthcare primary allowed $85 on a $260 charge, paying $70, leaving $15 balance for the secondary insurance to pay. The secondary insurance (Medicare) paid $11.50 of the $15 balance, is it okay to write off the $3.50 balance or do you leave the balance for patient? Scenario 3: Cigna primary allowed $85 on a $260 charge, paying $70, leaving $15 balance for the secondary insurance to pay. The secondary insurance (Aetna) paid $11.50 of the $15 balance, is it okay to write off the $3.50 balance or do you leave the balance for patient?

What is the best Healthy New York Health Insurance Plan? I'm in need of some assistance picking out the bestHealthy New York Plan. I'm looking for the best coverage with the least amount of out-of-pocket expenses. I also want a good large network. Aetna, Empire HealthChoice Blue Cross Blue Shield, GHI EPO, GHI HMO, HealthNet, HIP, Managed Health, Oxford? **Please be knowledgeable in accepting health insurance or medical billers** Thank you!

My new employer offers United Healthcare insurance for medical coverage; why are the premiums too high? Family coverage is about $1,150 MONTHLY with a $2,000 annual deductible, and it'll cost over $1,300 MONTHLY with a $1,000 annual deductible. This includes Medical and Dental but does NOT include Vision. My old employer (where I got laid off) offer Aetna PPO coverage for only $489.26 per month for my family of five. Perhaps they were subsidizing. Regardless, where else can I go for REAL insurance (not a "discount" plan)?

Does my insurance cover obesity surgery? I'm over 100 lbs overweight, with medical problems due to this. I have Aetna POS II insurance. Will they cover it weight loss surgery? Can anyone recommend a good Gastric- Bypass surgeron? I l;ive in Illinois.

Aetna health insurance are we covered? Help I'm so confused!? First off i want to say i know almost nothing about health insurence and related issues.... My husband recently well drinking jumped off a balcony... When I called to find out when the insurance company was going to pay the hospital bill they started asking me tons of questions... I really didn't know how to answer then... should I tell the truth? fully or not? I took him to the er and then later he has had a surgery and many doctor visits... because this was alcohol related will it be covered by insurance? it took place at a friends apartment building and the insurance is talking about looking into the complex to pay... I told them he slipped on wet steps not wanting to be left with over 60,000 in medical bills... but what do i tell them? How do i deal with all of this? Will I be left with the bill?

Dentists, medical billers, insurance people...help!!? We have Aetna DMO and I just had 3 crowns done by my PCD. They told me my co pay would be $750 per crown!! That's how much I used to pay before I had insurance. I asked her if she was sure and she said yes. I went ahead and had the work done and left paying the $2250. 4 months later my teeth are still hurting so I went to another dentist and they told me my co-pay should have been $305 NOT $750!!! So I called Aetna and they said I have to bring it up with the dentist office. When I went in there I asked to see the contracted price sheet for aetna and she claimed there wasn't one. So how do they calculate my co-pay if they don't have that information? Do they owe me a refund?? Both Aetna and my new dentist told me I was overcharged. What do I do if the dentist won't refund my money or what info can I bring with me to show they overcharged me?? YES this Dr was my primary care dentist assigned to be BY my insurance company so she was definitely in network. When I asked the office for a price sheet, they said they didn't have one...they just go by the DMO list?? Don't they have to go by what Aetna tells them? They claimed that my copay was $750 when it was actually $305.

Is the lifetime limit of $50,000 in my Medicare supplemental insurance plan reasonable? As a retiree, my ex-company charges me $176/mo. for Aetna Medicare Supplemental insurance. They say the limit is more than enough since medicare covers almost all of potential medical expenses.

What can an individual buy from Aetna in the state of Indiana? I want to qualify for an Aetna Healthy Living Visa card, but one of the requirements is that I have to be an Aetna customer. Is there anything that an individual (not company) can buy from Aetna in the state of Indiana? Preferably something cheap like a term life policy or one of those child-life-insurance-policy things. If so, how do I find an agent that sells Aetna? My reason is that the card offers 3% cash back on medical, and I charge a LOT of medical, and could mean a lot of cash back.

How do I make the right choice when choosing medical insurance plans? I just started working for Wells Fargo. I'm about to enroll for benefits for 2010. I just need help on choosing the right plan that is suitable for me, and practical (moneywise) being that I just don't wanna pay for a service I wont use. I had aetna with the last company I worked for. It was great. This time, Im offered: Health net of California, Health Net Silver Network, United Healthcare PPO, United Healthcare Consumer Directed Health Plan, and Kaiser.. Im not very familiar with how insurance benefits work so I need some advice. Im 25 years old, making $10 an hour, plus quarterly commission, part time. (20-30 hrs) a week. I currently see my doc for my ADD med, and general stuff, as in if I were to come down with a bad cold turned into a sinus infection, I would call him for an antibiotic. Other than that, Im pretty healthy, with no other health problems. So if you are familiar with health insurance benefits please advise me of what carrier I should go with, PPO and HMO? How different are they? I hear PPO is better, but is it suitable for me? because im sure it may cost more... Im going over all these plans. And Im undecided, and need advice. Please Help me! I'd appreciate it..

How would I and millions like me benefit from Obamacare? Or would we? I am 35 years old, proud father, devoted husband, I work full time, I'm on track to make about $97,000 by years end, and I pay about $26,000 a year in taxes. I also pay $400 a month for Aetna Medical Insurance after my company contribution for me and my family. So sinse Obamacare is so great, maybe some kind harded liberal can tell me how I'm going to benefit. Or am I one of those evil "rich" people that make too much, doesn't pay his fair share, and who SHOULD pay higher taxes so that everybody else can health care too?

How does a new insurance company know about my past prescription history? I applied for an individual medical policy with Aetna and went through the phone interview today. The representative asked me about prescriptions I had taken a couple years back and he knew the prescribing doctors names, etc. I never disclosed any of this info when I applied. How would they be able to attain such info?

Pre-existing pregnancy and swithcing health insurance carrieres? My wife is pregnant, and I've recently changed jobs. I have family medical coverage with Aetna which lapses as of 1/1/089, as of that point I can enroll in Cobra which is outrageously expensive. Do I have to use Cobra insurance or can I choose my own provider?

What do you need to have in order to get a Medical Billing Job? My parents have their own Business and I have been working for them Billing Insurance Companies like Aetna, BCBS, Medicare, NJM, Liberty Mutual. So I have experience but I am wondering if you need a certification to work at the hospital, Doctors office, ETC. and how long does it take to get the cert. if you need one.

wisdom teeth? I just find out that my wisdom teeth is growing now. But I think my medical insurance (Aetna) does not cover dental service. I will back to my country in 60 days, can I wait until that time to visit my dentist. Or I have see the dentist now to check whether I need to remove the teeth ASAP?

New to Health Insurance? Im a part-time employee and recieved medical and dental Health insurance from Aetna. I pay about 22/wk. It takes away from my paycheck automatically Iam trying to goto dentist for cleaning and doctor for a checkup. Up to now, I have only payed the 22/wk for about 3 months. I have not paid the 100$ deductible stated. If i goto the doctor for a checkup, what are my costs going to look like. Do i have to pay the deductible and co-payment?

Covered by two health insurance plans? My girlfriend just graduated from college, but she is covered under student health insurance until August of 2007. She just got a job, which gives her free health insurance from Aetna, which means for about 7 months she's going to have two health insurance plans. My question is, is there a way to have it so that one insurance company pays their responsibility, say, the 80% of the medical bill, and then the other company pays the 20% that would be your copayment, so that you end up paying nothing between the two of them? If not, then what is the benefit of having two insurance plans, if there is one. Thanks

How much is average cost of a 24 hour Holter Monitor EKG test? Hello, I just got a bill for for over $1,000 after my medical insurance (Aetna) for a doctor prescribed 24 Hour EKG Holter monitor test - Does anyone know if that is a fair and reasonable price? The also billed over a $1,000 for a prescribed 2 view chest x-ray after insurance (which I see around the site is more like $200-$300..). So, over $2,000 after insurance for what were non-invasive routine tests? This was done at Swedish Hospital in Seattle if anyone has a local experience as well. Thank you.

Seeking health insurance advice/recommendations for my retired mother.? My mother, who is retired, currently has health insurance with Aetna. She is dissatisfied with the coverage and is constantly receiving medical bills in the mail although she pays $130/month. Her prescriptions cost is ridiculous. She only went with this insurance company because it is what her late husbands union went with. Is there a reputable insurance option out there for her??? Can anyone recommend an insurance company for my mother that has premium coverage at an affordable cost???

What did you do about Schengen visa insurance? I was denied by the german consulate the other day because my insurance letter included the line "Benefit info is not a guarantee of payment", which my insurer told me was standard... has this kind of thing happened to anyone before ... this was a major co. Aetna medical... Thereafter, I had to google and buy travel insurance from one Atlas International... they have given me a letter as well... this letter says "other limitations and exclusions apply". But it seems like this travel insurance co. is pretty assured about the validity of this letter for schengen visas , bec it is explicitly advertised as such. My question is, HAS ANYONE USED AN ATLAS INTERNATIONAL VISA LETTER TO GET A SCHENGEN VISA BEFORE?

I need good health insurance for my child? Hey Everyone, I am wondering if anyone knows any good health insurances for Children. My son is 11 mons and his medical insurance is expiring soon and i am seeking new Insurance. The fact that my son is on my mothers insurance (United health care) I don't know whether i would like to stay with them or find someone cheaper? My mother pays 300 dollars a month for 4 peoples insurance (Due to the fact she gets benefits from her job) So does anyone know any reasonabled price insurance for JUST my child. My budget is 0-150 a month for single. I DO NOT wish to get medicaid or any medicaid orientated insurances due to the fact i am not eligible and i am not able see his current pediatrics. Does anyone know if AETNA is any good? or any other insruances?

Aetna copay for giving birth? I am 23 weeks pregnant, My health insurance is Aetna NAP, I am wondering if anyone will know how much my bill will be after I give birth?(inc circumcision) I have to copay $20 at my ob/gyn and copay $40 for ultrasounds. I am really worried about how much the medical bill will be as I am struggling to keep my head above water as it is with these copays.

The cost of a Diabetic Check up in the US? I am a British citizen that has just moved to the US to work for 3 years. I have diabetes and have aetna medical and detal cover, that I am only supposedly have to pay $20 for each visit. Not to bad I thought. I broke my foot 4 months ago playing Football/Soccer and it cost me $120, even though i had medical insurance! I went to the dentist and it cost me $300, even though I had dental insurance! Back in the UK I had my Diabetic prescriptions and check-ups all for FREE, as well as health care alround. I would be very grateful if anyone can anyone can tell me how much I might have to pay on my first Diabetic check-up ? Thanks Andrew Thanks to everyone that has made some suggestions. The funnyest being that maybe I should fly back to the UK and get it all done there, might be cheaper. Ha! You might be right. We will see. I dont know how to add to reply to the helpful messages that are being sent. It not like a forum this site, or I cant see the button to 'reply to topic' or something like that. Thanks Sue! I have an appointment for this Monday so we will see.

Pre-exisiting insurance, No coverage? This is a difficult question. I have about a 20k medical bill now. I just got insurance again in July 07. Lost my insurance in Oct. 06. Had knee pains twice before went to the hospital (Oct 06 and I'd say Oct 05, needed an aircast and crutches both times). X-ray showed nothing. Got MRI recommendation but school doctor told me my knee was alright and I just needed time. Current doctor said I was probably misdiagnosed by school clinic. Never got an MRI. Recently got MRI on knee with new insurance showed ACL tear. Now insurance is claiming it's a preexisiting injury and I won't be covered. My question is this is the first time I was diagnosed with ACL tear, shouldn't that count for something. Worse comes to Worse can I make a back claim on my old carriers? I went from Pomco (school insurance) ---> Medicaid ----> Aetna PPO

Health insurance denial for treatment and "self-funded" plan rules? My doctor tried to get preauthorization for treating a medical condition of mine more than nine months ago. My insurance stubbornly denied it time after time after time. Between these “time after time” periods, the requests were lost in the mail (if you believe that), papers were ‘misplaced’ by them, and there were delays because of practically every little thing. Eventually, my case went to an external review board that ruled in my favor, over-turning the plans denial; the insurance has to pay for my treatment now. This ruling in my favor came just last week, the same week that my coverage with this health plan ended as a result of my COBRA continuation coverage expiring. I believe my insurance should still have to pay for the treatment, because I would have had the treatments months ago, when I was covered, if it weren’t for the insurances negligence and incompetence. I am getting mixed answers, however, as to whether my insurance is in fact responsible for paying for treatment since I am no longer a member. I have called up several regulatory agencies, all unable to assist me because of the nature of my health plan. My health plan is something called a “self-funded” plan. A self-funded plan means that an employer has set up an account from which all medical claims are paid. The plan is administered through an insurance company like Aetna or Healthnet however. The caveat is that by them doing this, the plan is not legally an insurance plan and therefore is not bound by many state and federal regulations that govern insurance policies. In fact, many large employers set up these so-called self-funded plans, which look and act (almost) just like regular policies. Subscribers often don’t find out of this insurance loophole until it is too late. My question is does anyone know anything about ERISA, the (Employment Retirement Income Security Act), which allows these types of plans to elude regulation? Please cite legal or other sources. Any reasonable person knows, of course, that the insurance should pay for the treatment. To deny paying for treatment because I am no longer a member is preposterous since I was fighting to get the treatments for so many months when I was a member. So, not only did I have to postpone treatment, actually forcing me to suffer longer, but as a result, I may not even get the treatment! What should I do and what are my rights? I live in America by the way; where else would such corrupt politics and shoddy health care administration take place?

What is a Self Funded Insurance Plan? It has taken three months, a call to the executive office at United Healthcare, escalation to a "Rapid Resolution Team" and I still have not been reimbursed for my medical expenses. They said it was a self funded plan. Does that mean that United Healthcare has to ask my company every time I submit a claim to get a reimbursement? Why is there such a delay with getting payment back. I never had this problem with Aetna. Thanks! Thank you. But here is where I get confused. Who is causing the delayed payment? United Healthcare?

would like to know if broadtop medical would take aetna health insurance just moved to saxton need a doc.?

Does my insurance cover obesity surgery? I'm over 100 lbs overweight, with medical problems due to this. I have Aetna POS II insurance. Will they cover it weight loss surgery? Can anyone recommend a good Gastric- Bypass surgeron? I l;ive in Illinois.

what does tricare cover? i have tricare standard now. should i still keep my other insurance from aetna? how much is tricare gonna pay off for medical visits? do i ever get a tricare handbook? thanks!

health insurance questions, need answers fast!!!? we have a choice to get aetna pos II with HSA, question one: is hsa worth it? question two, we have to put in how much we want to add, read below Enter 0 if you don't want to contribute. $ ($1 - $3,950) A contribution should only be made in the Health Savings Account if you elected the Medical Coverage with HSA option in the Medical plan. Remember, if you're enrolled in the Medical Coverage with HSA, TXU makes an annual contribution to your HSA of $1,800 (You + Spouse, You + Child(ren), or You + Family). You'll also need to account for any additional incentive contributions TXU makes to your HSA this year: # $50 for completion of health risk assessment # $200 for actively participating in and graduating from a health coaching program what should we do, we also have a choice of a plan without hsa the deductible is 3600 for the family

Questions About My 2nd Level Insurance Appeal...? I am battling Aetna PPO to cover a diabetic DME (Continuous Glucose Monitor). I have followed every step/policy Aetna has asked of me to complete this appeal process. I am ANGRY that when I ask something of them, they do not even acknowledge my request! In my last appeal letter I specifically asked for 4 things from them if they denied my appeal again: 1. Study references they used to deny my appeal (URL format) 2. Full listings of financial and other relationships which any insurance companies and other payers (such as Medicare/Medicaid, Military “Tricare”, VA, etc.) have with their study authors. 3. Medical license numbers of their decision maker(s). 4. An appropriate legal contact’s address. My questions is: Do I just go ahead with my next appeal, or do I call them up on not supplying me with the information that I requested and demand that they do it? Thanks for your help Marcy

What did you do about Schengen visa inusrance? I was denied by the german consulate the other day because my insurance letter included the line "Benefit info is not a guarantee of payment", which my insurer told me was standard... has this kind of thing happened to anyone before ... this was a major co. Aetna medical... Thereafter, I had to google and buy travel insurance from one Atlas International... they have given me a letter as well... this letter says "other limitations and exclusions apply". But it seems like this travel insurance co. is pretty assured about the validity of this letter for schengen visas , bec it is explicitly advertised as such. My question is, HAS ANYONE USED AN ATLAS INTERNATIONAL VISA LETTER TO GET A SCHENGEN VISA BEFORE?

Health Insurance did not follow my requests in Appeal Process? I am battling Aetna PPO to cover a diabetic DME (Continuous Glucose Monitor). I have followed every step/policy Aetna has asked of me to complete this appeal process. I am ANGRY that when I ask something of them, they do not even acknowledge my request! In my last appeal letter I specifically asked for 4 things from them if they denied my appeal again: 1. Study references they used to deny my appeal (URL format) 2. Full listings of financial and other relationships which any insurance companies and other payers (such as Medicare/Medicaid, Military “Tricare”, VA, etc.) have with their study authors. 3. Medical license numbers of their decision maker(s). 4. An appropriate legal contact’s address. How much would I have to pay what kind of lawyer to help me fight this? Thanks for your help Marcy

Unfair Medical Billing Practice by Doctor? Hi, I feel being a victim of unfair business practice and need guidance on where and who to contact first. I have Aetna insurance and was recently operated for cataract. On the morning of operation, the doctor reccomended me "Restore Lens" and say that this lens would not be covered bt my insurance requiring me a deposit of $2000 on my credit card. This payment did not show up anywhere on the statement and after the surgery a charge of $835 from hospital showed up as a non covered charge for the lens. The doctor later paid the $835 so hospital adjusted that from the bill but this exposed that the lens was of only $835 and the surgeon pocketed the extra money as a sales agent. No the doctor does not show the CC payment on his bill, my payment was not reported to Aetna and the hospital has marked the $835 charge , not sure where to claim my refund of $1175 and which govt agency toreport this pmnt arrangement b/w the dr and the hospital. This happened in Jacksonville FL.

Medical bills have piled up over the past 3 years, what should I do? I even have insurance, HAD insurance through Aetna, yet they have denied or either ignored claims that should have been covered under my plan. I am only 21 years old and I don't even know how to approach this. A few years ago, I WAS working with a debt collection service and I stopped payments, but I guess they didn't sue because they knew I was a college student and didn't pay. This went on my credit report as a bad debt. I don't have Aetna anymore and I have a huge stack of bills from various medical services and I don't even know where to start. I have ignored them for over two years. I don't know where to start. The insurance company? I don't think they can do anything because I've been turned over to collection agencies and I can't backtrack from that. I've been told that I can only deal with the collection agencies and the creditors who haven't called the collection agencies on me yet. WHERE DO I START TO SORT THIS OUT? Can anyone give me some steps to follow? PLEASE? I even have insurance, HAD insurance through Aetna, yet they have denied or either ignored claims that should have been covered under my plan. I am only 21 years old and I don't even know how to approach this. A few years ago, I WAS working with a debt collection service and I stopped payments, but I guess they didn't sue because they knew I was a college student and didn't pay. This went on my credit report as a bad debt. I don't have Aetna anymore and I have a huge stack of bills from various medical services and I don't even know where to start. I have ignored them for over two years. I don't know where to start. The insurance company? I don't think they can do anything because I've been turned over to collection agencies and I can't backtrack from that. I've been told that I can only deal with the collection agencies and the creditors who haven't called the collection agencies on me yet. WHERE DO I START TO SORT THIS OUT? Like what kind of steps? I think it totals to about 5 or 6k. Gave my father all my bills who told me he'd contact Aetna and HR dept. at his company from which I get coverage, but he hasnt done anything and Ive gotten no feedback. My mom told me to contact Aetna but I have no experience in dealing with these situations and I'm SCARED to hear someone tell me, "Uh, hey, you are SCREWED." This is PART of the reason I've been putting it off. The creditors and collection agencies are telling me to send payments, my mom is telling me to force my dad to help or call Aetna myself. But if these 5-6 thousand in bills have been handed over to collection agencies, there's nothing Aetna can do, right? In one instance one hospital said I didn't have coverage because my student enrollment wasn't verified, BUT IT WAS. They sent me a letter saying bc I haven't responded, they assume the "debt is valid" and they are holding ME responsible, not my Aetna. So that's an HR problem bc I DID verify my enrollment with them. It's very complex....

Has anybody had any sucess getting a SnoreGuard device for their sleep apnea, rcving full benefit frm insurnc? I have Aetna insurance and they have been giving me the run around in not being clear with me on how I get full benefit if I get a SnoreGuard sleep apnea device created. They have told me I will get 90% coverage if it is billed under medical. All dentists I go to only bill under dental which Aetna only gives a 50% coverage to me. I have yet to find a dentist or oral surgeon who bills under medical and I find myself at point A, after going to 2 separate dentists/oral surgeon in search of them creating this device for me. This is ridiculous. All I want is a Snoreguard for my sleep apnea. Use of the CPAP machine is nuts in my case.