Home Insurance Law Aetna Insurance coverage – What You Want To Know

Aetna Insurance coverage – What You Want To Know

Aetna Insurance coverage – What You Want To Know


Have you ever suffered an Aetna Incapacity Declare Denial?  If Aetna denied your legitimate insurance coverage declare, don’t hesitate to contact Donahue & Horrow. We’re a Los Angeles-based regulation agency that has efficiently secured thousands and thousands of {dollars} for our purchasers in denied incapacity insurance coverage and different insurance coverage claims by taking massive insurance coverage corporations like Aetna head-on. 

Our attorneys are dedicated to 1 factor –  you! We’ll apply the stress to business giants like Aetna to offer you each peace of thoughts and safe the insurance coverage advantages which might be rightfully yours. 

Name us immediately if you happen to assume that you just’ve been handled unfairly or unethically by Aetna: (877) 664-5407

Aetna Insurance Claim Denial


About Aetna – Now a part of the CVS Well being Company Model

On November 28, 2018, CVS Well being, an organization that generated a staggering $256.8 billion in complete revenues in 2019, accomplished its $78 billion acquisition of Aetna, a healthcare advantages services supplier. This conglomerate, which was No. 8 on the newest Fortune 500 rating, is swimming in money, accumulating greater than $6.6 billion in internet earnings final 12 months. 

Sadly for a lot of Aetna policyholders, Aetna’s place throughout the overarching CVS Well being group will additional feed the corporate’s must justify this buy and hold shareholders glad. Sadly for policyholder’s such as you, it looks as if Aetna is making an attempt to justify its position within the firm by both delaying the cost of legitimate claims or worse, denying incapacity insurance coverage claims outright. The identical goes for the corporate’s medical health insurance, life insurance coverage, and long-term care insurance coverage claims. In case you have suffered an Aetna incapacity insurance coverage declare denial we’re right here to assist.

It’s time to carry Aetna and CVS Well being accountable for his or her issues in regards to the backside line above your well-being. For those who’ve been denied the insurance coverage advantages you deserve by Aetna, contact Donahue & Horrow. We’re out there to reply any questions you will have about your insurance coverage coverage or denied insurance coverage declare. 

Donahue & Horrow relies in Los Angeles, however routinely handles circumstances all through California. Name us at 877-664-5407. We are able to even meet with you face-to-face at your location to debate your insurance coverage declare, if needed.


Aetna’s Techniques In Denial of Incapacity Insurance coverage Claims

Aetna—like many different incapacity insurance coverage corporations— is aware of that their greatest expense is paying out claims to policyholders. As soon as Aetna has your cash, what unfolds is an all-too-familiar situation. When you’ve made your premium cost to Aetna, the corporate has little incentive to pay you and can do any or all the following to scale back your payout or make you give up pursuing your declare altogether:

  • Making burdensome requests by repeatedly requesting documentation, even if you happen to’ve already submitted the identical paperwork.
  • Downplaying medical proof—together with goal and subjective information—to discredit your incapacity or your insurance coverage advantages entitlement.
  • Refusing to simply accept your physician’s opinion that you just’re disabled and unable to return to work.
  • Requesting so-called “unbiased” medical critiques by unqualified physicians or people to evaluate your medical situation. 
  • Repeatedly delaying a choice relating to your insurance coverage declare. 


Actual Examples of Aetna Denying Claims

Aetna has a current monitor file of denying policyholders’ claims. In 2017, Aetna offered its group incapacity insurance coverage and life insurance coverage enterprise to The Hartford Life Insurance coverage Firm for nearly $1.5 billion. Following this transaction, hundreds of people with employer-provided incapacity and life insurance coverage protection acquired notification that Aetna was now not their insurance coverage firm.

In late-2018, Aetna misplaced a $25 million verdict after the corporate denied a most cancers affected person’s protection, and this particular person later died. The case was important for Aetna, which was accused by an Oklahoma jury of performing “recklessly” and was a catalyst for the insurance coverage supplier to “change its methods,” a CNN report asserted

Aetna’s negligence relating to policyholders’ insurance coverage protection additionally got here to a head in April 2019, when the corporate settled a lawsuit following testimony by one in every of its medical administrators who stated he by no means reviewed affected person data to approve or deny protection. The matter was invested by the California insurance coverage commissioner. 


Insurance coverage Claims Have Deadlines. Don’t Delay!

If The Hartford or Aetna denied your reliable insurance coverage declare, contact Donahue & Horrow. We’re a Los Angeles-based regulation agency that handles circumstances all through California, and we’ll do the whole lot we will that will help you struggle for what you’re rightfully deserve. 877-664-5407. Our authorized staff will deal with you with the dignity you deserve, whereas combating relentlessly to safe the insurance coverage advantages you’re owed.

Our attorneys have greater than 80 years of expertise taking up essentially the most advanced authorized issues. In terms of insurance coverage insurance policies, it takes a meticulous method to decipher every side of those insurance policies. We’ll help you by serving to you perceive your incapacity insurance coverage, medical health insurance, life insurance coverage, and long-term care insurance coverage claims. Name us immediately to request your free session. 877-664-5407.





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