Aetna health insurance
Common Questions and Answers about Aetna health insurance
mens-health
I am so far a healthy 43 year old/m in pa. I am trying to decide which health insurance plan will be good for my situation and I am looking for some opinions here. This Month my group plan ends and I can take cobra but there is no financial benefit to taking my same PPO plan which gives me to price break for being unemployed.
So I am trying to look at this at a meaningful way. Since my PPO was $475/m plue $29 dental I just cant be paying that on my own now.
It depends if you have health insurance and whether that insurance covers breastpumps or not.
If you have health insurance. Call the customer service line printed on your insurance card. Talk to a represenatitve and ask them if they cover breast pumps and to what extent. Mine covers a 100% with no co-pay. After you have verified that they cover it, ask them what their process is. Every insurance is different.
With my first pregnancy, I had Aetna.
We have an Aetna PPO. We visited the ER. On the bill states the final amount of charges from the hospital is $418. Then there is an "Aetna Billed Charge" for $560. After checking with Aetna they told us that their negotiated rate or cap that the hospital can charge for an ER visit is $979.
It's not just you paying to make those people's, who struggle just as much if not more, it's all of us. I understand it isn't easy but maybe you should blame it on the already greedy insurance companies that are making it harder in you an not the people, like myself, who can't afford insurance period. Yes, I work, my husband is a full time student and he works we are having our 3rd child next month. We are no means lazy we work for every thing we have.
Is your insurance through Aetna handled through your or spouses employer, an insurance broker or a local insurance agent? If so, use them. I have Aetna which used Aetna specialty phamacies for the med, so I guess each state and type of plan my differ with how this is handled. I wouldn't give up trying to call Aetna to speak with a supervisor. Be polite, but persistant. In my opinion, getting an attorney at this point will delay things even further and be very costly with little outcome.
Hopefully your insurance will cover it. Aetna is listed as an In-Network insurance plan on the Afirma website (but I know how that goes - my in-network hospital for my in-network thyroid surgery somehow had out-of-network pathology department that I then had to get them to approve).
If your insurance doesn't pay and you don't qualify for Veracyte Access Program, it looks like it costs around $4800 now. But, I think it is likely that your insurance will pay for the test.
Does anyone know how to get a new baby insurance? I know I'll need some but no idea how to even start that process!
I have Empire BC/BS, we just got in January. Before Empire I had Aetna through my employer and United Health Care through his which also had infertily coverage. We decided to drop Aetna and just stay with his coverage this year because his deductible was only $450, mine was $1,800. The coverage we have now has a lifetime max of 25K for infertilty and we have only met 6K on this 1st cycle.
I have Aetna and was prescribed to be on treatment 24 weeks more than 'standard'. Insurance plans can differ, even within the same insurance company. One of the main objective of insurance is to limit pay-outs for coverage as much as possible. However, you and the docs can work with insurance company. If extended treatment is warranted, you might want to get your doc on the case with the insurance company.
You are not going to find a list for which Pharmacy Benefit Manager each insurance provider ie, Aetna, United, BCBS, etc has because it is dependent upon each individual plan.
For example....I have insurance through my hubby's employer. We have medical insurance with Aetna. Last year our Pharmacy Benefit Manager was Catamaran but they changed this year and we have CVS/CareMark. The Speciality Pharmacy with Catamaran was Briova and with Caremark they of course have CVS.
I noticed your other post in that other thread. I will put my answer here so your info is all in one place.
My insurance company is United Health. There are other people on the forum with Aetna. They treated. I don't know the details of co-pays for them, but I am sure they would have posted if the co-pays had been $9,000 a month.
One thing I do recall is that some people had a lot of trouble with Aetna, with approvals. But I don't know the details. I think Aetna is one of those ins.
I had my medela double breast pump 100% covered. I have Aetna. I just ordered from Byram Health and they check with your doctor for a script and it was mailed to me within a week or two. No leg work on my end - it was a great experience. I hear a lot of hospitals use Medela and it is a really good pump overall.
Hello. I live in northeastern Pennsylvania. My employer's health insurance premium payments are now $203 per paycheck (26 payments per year). She said we can try to find individual plans. My question is... I had basal cell carcinoma (benign) on my face removed in 2001. Do I have to report this as a pre-existing condition since it was nine years ago, completely removed, and no recurrence?
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