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steve55 · #1 (**permalink**) 04-02-2009, 12:52 AM

Its so sad that insurance companies are saying "NO" to procedures they either already state that they do cover or that should be covered. Its all about money. Really sad and unethical and immoral indeed. They only give in when you appeal and put up a fight, which most people dont , most people just give up.

Im appealing for a 3 level ADR reimbursement with Aetna and Im going ALL THE WAY BABY!! Whether I win or lose, Im given them hell. IN fact, Ill spend another $3k to $5K to take them to court in the end if necesssary. Maybe Ill lose still. WHo cares, Im give em hell either way. SO far, I do have at least 1 case of prescedencse where they have paid for multi level ADR. Im looking for more but every time I find people on these boards who have had aetna cover their multi level ADR, they say they've thrown it away already. OH well.

RedStang · #2 (**permalink**) 04-02-2009, 01:10 AM

Quote:

Originally Posted by steve55

Its so sad that insurance companies are saying "NO" to procedures they either already state that they do cover or that should be covered. Its all about money. Really sad and unethical and immoral indeed. They only give in when you appeal and put up a fight, which most people dont , most people just give up.

Im appealing for a 3 level ADR reimbursement with Aetna and Im going ALL THE WAY BABY!! Whether I win or lose, Im given them hell. IN fact, Ill spend another $3k to $5K to take them to court in the end if necesssary. Maybe Ill lose still. WHo cares, Im give em hell either way. SO far, I do have at least 1 case of prescedencse where they have paid for multi level ADR. Im looking for more but every time I find people on these boards who have had aetna cover their multi level ADR, they say they've thrown it away already. OH well.

Thrown it away? Oh heck no. I'd be holding on to that for a while.

Justin · #3 (**permalink**) 04-02-2009, 01:19 AM

Quote:

Originally Posted by RedStang

Thrown it away? Oh heck no. I'd be holding on to that for a while.

No joke! That thing would be framed. Good luck Jason...hopefully, things will get much better for you in the coming months. Keep us posted!