AETNA has got the toughest impairment claims experts I have actually observed and handled... They're rude, liers, and simply refuse statements so that they do not have to spend, and aspect t / whoever the organization you work with...
They consider their period and increase the appeals since they're also lazy to obtain it done right away. I actually donot believe the impairment analyts you will find certified whatsoever...
Additionally they appear to consider a lot of times down, change in one expert to another... To another... Why? Since one cannot manage the state so that they have to move it on? Which makes me laugh... Qualified my bottom...
That is my story and what happened tome...
I posted my leave of lack on Aetnais workability administration additionally, it explained i qualified for temporary disability.
I printed out the documents must be completed so when completed, had them sent to Aetna...
Aetna they said they never received the certification from my provider. About per week later I had been informed this.
Once they got the "2'nd" one, they refused my temporary impairment since my "INTERNAL MEDICINE DOCTOR" placed on the certification I'd persistent despair, he'd known me to some consultant working n / behavioral health, and so I created the appt. And she identified me with Biploar despair after i informed her the same signs to my INNER DOCTOR.
He'd no concept I'd the bipolar part.
And so I appealed it, they mentioned delay 45 days. So I did so and submitted more information they required
They needed to "INCREASE" it... Why? I submitted a notice associated with my doctor. Appts. I'd before i continued leave and after i continued leave, copies of evidence, my doctor. Additionally submitted records from these appts.
So... They'd to increase another 45 times due to these 5 or 6 websites... Seriously... Do your projects right and prevent being sluggish and simply placing it off...
THEREFORE... They did the expert statement, calling my doctor. And my behavioral health dr. That i NEVERTHELESS see each week, along side my medications. Dr.
My "INNER DR." informed them I had been performing "REGULAR"
Despite i told him my signs I'd also it was all triggered from function and also the supervisors being unprofessional, stating items to me which should haven't been stated, gettin me upset, furious, crying, panic, etc... AND THAT I COULDN'T PERFORM MY JOB DUTIES/HANDLE THEM...
Consequently from these occasions along with other issues... I wound up frustrated which converted into bipolar, actual poor, was informed it had been manic depression also...
I had been from May until Oct. 09
I acquired NO advantages or funds, all my expenses got behind, charge cards not being compensated, needed to stop a number of them and today my credit history is poor...
My attraction was only section of my leave, they refused me from May 13'th 09 to July 10'th 09 since my first appt. With my behavioral health doctor. Was on June 11'th 09.
Therefore the authorized section of my temporary impairment was authorized from July 11'th on till i returned to function... That was Oct. Second 09
But... After my charm was selected Oct. 15'thapproximately... They refused me again due to what my INNER DR. Said, i was performing regular... That we was not...
The Aetna "IMPAIRMENT EXPERT" called "TABITHA" held showing me since Aug. 09 another week, another weekapproximately prior to the choice, etc...
She lied to me!
And so I cried, my sweetheart arrived home, noticed how annoyed I had been and named "TABITHA"
SHE WAS RUDE, LIED, after which informed him/me on speakerphone "TO NOT CALLBACK UNTIL OCT. 15'TH 09"
I'd requested her in another phone pryer to that particular one how my benifits could be paid if my charm was refused or approved, since I have was "ACCEPTED" for that Temporary Disability from June 11'th on...
She said she did not understand...
NICELY... This is exactly what she should've explained since she should've recognized, and that I did not understand until Oct. 15'th once they refused my charm again... So when I acquired the refusal notice as well as their " RESULTS" that was the "WORKING REGULAR" component...
Based On my job... That will be... Of all of the locations..."BANK OF AMERICA"
Would you understand what their plan methods due to their "AFFILIATES" are?
You can't go from an "outstanding" medical leave... To some "settled" medical leave.
I'd no idea till I acquired that refusal notice, did not realize and named "TABITHA"
She then explained i'd obtain "nothing"
No benifits paid...
Despite the fact that i had been "authorized for short term disability from june on...
I called what's referred to as "guidance and guidance" for that Lender of America, that woman explained Aetna must've recognized that and informed me.
Guidance and guidance did nothing to assist me, which was in Oct. 09 after my refusal notice and speaking with "TABITHA" from Aetna.
THEREFORE... Simply because they got such a long time on my charm, stretching it, with no rewards paid, I'd to "PRESSURE" myself to return towards the same location that triggered me not to having the ability to execute my work when I could not target, emphasis, i cried, got furious, annoyed, panic, fallen function several times which was completed and needed to place in order again...
I dropped my normal placement since "LEGALLY" lender of america may do that after 16 months on medical leave...
I was still furious and annoyed and worse since I had been place in a situation again that I really could not do before "a processor", consequently provided the "workflow" one which I did so before my leave... That I had been outcasted from... Why? Since I've Tendinitis in my own fingers that avoid me from obtaining my "figures" or "allowance" for what i do. Which is examine processor / check coding... Like information entry.
I understand i did excellent on my work, all of the trianees explained I did so, and that I assisted them significantly more than "others" who must have, dealing with their responsabilities because they were not, and creating me my signs also.
Workflow is just designed to obtain the work, move it out, get the completed work, and provide to another department.
That is all I had been designed to do... Not necessary to reply the studentis concerns or when they required help. That is just a "COACH" position.
I wasn't a... But performing their work along with mine...
THEREFORE... From the 2nd day I had been back again to function, i cried at my device, got rushing ideas... But still even today, place in working out space where i worked performing workflow and viewing how they "TRANSFORMED" issues for the reason that space while I had been attended improve, which shoud've been completed before i quit...
And viewing the "fresh individual" performing "OUR WORK" that I'd for more than 3 years...
I get angrier and angrier and cry daily that I'm there...
I get annoyed as well as in discomfort from my fingers damaging, performing more harm... And never able to obtain the "1600" products each hour...
A brand new manager needed over and made the changes although i had been out.
I've talked to him a couple weeks before, told him my situation and our disabilty and items that "occurred" consequently of my leave...
I also told him i can't be in it room since i'm surrounded by people there who caused me harm, and also the new workflow individual, obtaining me upset/furious, viewing... And crying
I told him i have to go to the running ground "a device" and so i may try to see what goes on...
Their issue..."what're your figures?" good huh?
I can not obtain my figures... Can only just do "1300-1400" average.
I'll eventually be placed on warnings. Subsequently kicked from the company as much others have...
I had been just told earlier this friday 11/20/09 that i'll be moved to some device, following a week of waiting.in the first week of december.
Another week of pain due to the holiday this thurs...
Shame on aetna for lying in my experience... Getting their sweet period, not telling me the best things they must have, waste on them to make me worse... To even today... Crying, obtaining upset nevertheless at the office, etc. I'm it had been "bad-faith" on the component, and by going by what my internal medicine doctor. Said.
Once they should've passed by our behavioral health doctor. Identified me as...
Making me to return due to their negligence and never doing their job right...
I want money for the necessary issues i want, such as for instance my appts. Regular, our medications regular... Lamictal and strattera, along with other medications i attempted since june to have the best ones.
I want gas in my vehicle, insurance, expenses, food, lease, to pay for my share n / our boyfriend. Etc.
My boyfriend wound up investing in items that i could not, i owe him so much now.
It put us on the limited budget; me getting from my 401k to cover what i possibly could until which was gone.
I'd to pay for cobra $100 per month to keep our aetna "wellness" insurance to be able to go to my behavioral health doctor. Because they do not consider "condition" medical...
And that i wasn't going to switch to another facility and begin "over" t / another dr or place.
I'm still focusing on obtaining the strattera dose right, and lamictal being improved gradually... And improving, however it's still hard.
Seriously aetna... Do your work right, and perhaps you will not get a lot of complaints.
Since i have read a lot of of these, and certainly will connect with some. I wonder just how many "bad-faith" lawsuits you've against you...
And for my employer. Shame you too... We will have to see what goes on, since bank of america also offers numerous issues... From "associates" calling time and worrying watts / nothing getting done before i continued leave... Before new supervisor walked in...
Bank of america appears to also care more about individuals that hold bank reports/customers, then they do for they're own associates.
For each aetna and bank of america, i'll try to find a lawyer within connecticut to assist bring this to court and "sue" for damages they caused and still are...
I can not stop since i want cash, not within the right frame of mind for an "meeting" having a new job...
Easily can't find someone to help me, i'll file by myself to civil judge... Deliver ltrs to corperate practices, papers, press... Etc...
Heck, i believe i am gonna backup and paste this and save it...
What circles, comes around...
I'll get what i deserve due to their "steps" and problems...
Rely on it... Everybody will learn about both of these "businesses"
Any atttnory who may read this and want to help me... Please answer this and tell me what i will do, or what i ought to/should't do i'd appreciate it.
Write your name/number and when you're interested of course if i've a great case on my hands.
Possess a nice day to people who "ruin" others...
Since sometime " i'll"
From: a manic bipolar depression individual within connecticut
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