HomeInsurance LawAetna 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 touch Donahue & Horrow. We’re a Los Angeles-based legislation company that has effectively secured tens of millions of bucks for our shoppers in denied incapacity insurance coverage and different insurance coverage claims through taking huge insurance coverage corporations like Aetna head-on. 

Our lawyers are dedicated to 1 factor –  you! We’ll observe the force to business giants like Aetna to come up with each peace of thoughts and safe the insurance coverage advantages which can be rightfully yours. 

Name us these days in the event you assume that you just’ve been handled unfairly or unethically through Aetna: (877) 664-5407

Aetna Insurance Claim Denial


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

On November 28, 2018, CVS Well being, an organization that generated a staggering $256.8 billion in overall revenues in 2019, finished its $78 billion acquisition of Aetna, a healthcare advantages services supplier. This conglomerate, which used to be No. 8 on the most recent Fortune 500 rating, is swimming in money, gathering greater than $6.6 billion in web source of revenue closing yr. 

Sadly for plenty of Aetna policyholders, Aetna’s position inside the overarching CVS Well being group will additional feed the corporate’s wish to justify this acquire and stay shareholders satisfied. Sadly for policyholder’s such as you, it sort of feels like Aetna is making an attempt to justify its function the corporate through both delaying the fee of legitimate claims or worse, denying incapacity insurance coverage claims outright. The similar is going for the corporate’s medical health insurance, lifestyles insurance coverage, and long-term care insurance coverage claims. You probably have suffered an Aetna incapacity insurance coverage declare denial we’re right here to lend a hand.

It’s time to carry Aetna and CVS Well being in charge of their considerations about the base line above your well-being. If you happen to’ve been denied the insurance coverage advantages you deserve through Aetna, touch Donahue & Horrow. We’re to be had to reply to any questions you’ll have about your insurance coverage or denied insurance coverage declare. 

Donahue & Horrow is founded in Los Angeles, however mechanically handles circumstances right through California. Name us at 877-664-5407. We will even meet with you face-to-face at your location to talk about your insurance coverage declare, if essential.


Aetna’s Ways 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 state of affairs. If you’ve made your top class fee to Aetna, the corporate has little incentive to pay you and can do any or all the following to cut back your payout or make you surrender pursuing your declare altogether:

  • Making burdensome requests through many times soliciting for documentation, despite the fact that you’ve already submitted the similar paperwork.
  • Downplaying scientific proof—together with purpose and subjective knowledge—to discredit your incapacity or your insurance coverage advantages entitlement.
  • Refusing to simply accept your physician’s opinion that you just’re disabled and not able to go back to paintings.
  • Soliciting for so-called “unbiased” scientific opinions through unqualified physicians or people to evaluate your scientific situation. 
  • Time and again delaying a choice relating to your insurance coverage declare. 


Actual Examples of Aetna Denying Claims

Aetna has a contemporary monitor report of denying policyholders’ claims. In 2017, Aetna offered its crew incapacity insurance coverage and lifestyles insurance coverage trade to The Hartford Existence Insurance coverage Corporate for nearly $1.5 billion. Following this transaction, 1000’s of people with employer-provided incapacity and lifestyles insurance policy gained notification that Aetna used to be not their insurance coverage corporate.

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 used to be vital for Aetna, which used to be accused through an Oklahoma jury of performing “recklessly” and used to be a catalyst for the insurance coverage supplier to “alternate its techniques,” a CNN record asserted

Aetna’s negligence relating to policyholders’ insurance policy additionally got here to a head in April 2019, when the corporate settled a lawsuit following testimony through one in every of its scientific administrators who mentioned he by no means reviewed affected person information to approve or deny protection. The subject used to be invested through the California insurance coverage commissioner. 


Insurance coverage Claims Have Time limits. Don’t Lengthen!

If The Hartford or Aetna denied your reputable insurance coverage declare, touch Donahue & Horrow. We’re a Los Angeles-based legislation company that handles circumstances right through California, and we’ll do the whole lot we will be able to that will help you combat for what you’re rightfully deserve. 877-664-5407. Our criminal staff will deal with you with the consideration you deserve, whilst combating relentlessly to safe the insurance coverage advantages you’re owed.

Our lawyers have greater than 80 years of enjoy taking at the most intricate criminal issues. With regards to insurance coverage insurance policies, it takes a meticulous way to decipher every facet of those insurance policies. We’ll lend a hand you through serving to you recognize your incapacity insurance coverage, medical health insurance, lifestyles insurance coverage, and long-term care insurance coverage claims. Name us these days to request your loose session. 877-664-5407.





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