Wednesday, February 06, 2008

A rant about my insurance company

Alright....I am so upset I feel like kicking something. Aetna is my insurance and has been the only insurance provider I've had for about 4 years...in fact even before I started at Amex I had Aetna.

In November I got a bill from Banner Good Sam (the hospital I had Abby in) for roughly $160,000. Aetna denies my claim. I call the insurance company and the conversation goes as follows.

Insurance Agent: How may I help you?

Me: Could you tell me why you denied my claim for my hospital stay?

Insurance Agent: Can you hold for one moment?

Me: Sure

Hold music plays for 15-20 minutes

Insurance Agent: I am sorry for the short delay. We did an investigation and our records indicate you have other primary insurance.

Me: I do not have any other insurance.

Insurance Agent: Our records indicate that you do.

Me: But I don't! Which other insurance do your records say I have?

Insurance Agent: I don't know we will have to do an investigation.

Me: I thought you already did the investigation.

Insurance Agent: We have and it shows there is another plan but does not show what plan.

Me: Okay......how do we fix this?

Insurance Agent: You have to prove you do not have other insurance

Me: How do I prove that?

Insurance Agent: It'll take 7-10 days

Me: What will take 7-10 days

Insurance Agent: The investigation.

Me: What investigation?

Insurance Agent: The one for the denial.

Me: Okay...so what do I need to do?

Insurance Agent: Take this reference number and call back in 7-10 days.

Me: Okay thank you.

Before the 7-10 days pass I get a bill from my OBGYN's office. They had paid all the claims from there and now they have TAKEN PAYMENT BACK!

Okay...back on the phone I go. Over and over and over again I call them to get this straightened out...The conversations are all very similar....I tell them the problem...they put me on hold for a "short" time usually not less than 20-30 minutes and I am given another reference number. All my requests for a supervisor are met with..."I am sorry Ma'am but no supervisor is available but I can put you through to their voice mail." I never got a call back.

Finally last month I got if fixed....they paid the bills like they should have and all was well....or so I so naively thought.

Today I got a bill from my OBGYN's office...they have once again TAKEN BACK their payments.

I get on the phone and the rude insurance agent tells....you guessed it....we will have to do an investigation into this. Argh!!! I am writing the BBB...and I am upset enough at this point I may just sue myself an insurance company!

1 comment:

Anonymous said...

You're kidding me. Stay calm, breathe deeply, ignore rising panic.