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6.4

Overall Score

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Donald Miller Liberty, KY

Sent a shifty insurance agent to my mother's home where I was convalescing from a head-on collision on my motor cycle with a car whose driver had Aetna Insurance. The agent who visited me told me it was not her fault, but because they're nice people, they would repair my cycle and pay my medical bills. I mentioned the clothes torn up in the accident as well as having to be adjusted to fit over my injuries. They would pay for that too I was told. Then I mentioned I would be unable to go back to work (I was working the summer between my freshman and sophomore year) and the man agreed to pay my lost wages. Being high on pain killers, I was not able to reason clearly so when I ran out of ideas, he had me sign the papers, I signed away my rights. I was unable to return to the judo team and have had problems with my leg over the years. Accident happened July 28, 1968. Unscrupulous, cheating company and I would never consider using their services.

6 years ago

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BCS Algonquin, IL

I highly do not recommend this insurance provider. As a business owner, I have been waiting since January 30th, 2020 for this company to signed the other half of the contract. Everytime I call and ask why I have not received a signed contract or in network with them, they give me all types of excuses. I have called over 10 times and each time I get the run around game. Its exhausting! I will continue to advocate for my clients. Out clients are depending on us for counseling services and this company does not even care. So, I will encourage all of our clients to leave this insurance provider and find another insurance provider. No person or company should have to beg or plead or get treated this way. We did everything we were suppose to do, and still they continue to mislead and disrupt our services and the lives of others. Shame!

6 years ago

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Rachel Baker Redwood City, CA

DO NOT CHOSE AETNA! They advertise one thing, but lie. I had a health concern, but didn’t really now my benefits so I called the Aetna health concierge. She told me my visit would be FREE, no cost to me (this call was recorded) and gave me 3 locations I could go for this visit. I went to the first one. Turns out I was given wrong information and 2 months later I’m left a $1350 bill!! I called to dispute it, they were able to pull the recorded conversation and confirm I was told the visit would be free. They tried to point fingers at anyone else but themselves. They said I should know my plan better?!?! That’s why I called the Aetna health concierge!! They are impossible to get into contact, wait on hold, calls get dropped, “well call you back” never happens, “I’m working my hardest on this” nothing happens for weeks”.

6 years ago

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A Santos Lenexa, KS

I have the misfortune of being stuck with Aetna as my health insurance provider. Before I went in for my foot surgery, I called them to verify that the four different surgical procedures that are going to be done on my foot are covered under my health insurance plan with them. They said yes. I felt silly for asking, but I also queried whether there will be problems with me having all four different surgical procedures done in one operation. They said there will be no problems. After I had the surgery, Aetna said that they will cover only the first surgical procedure, and they consider the three other surgical procedures as part of the first one, so they are not paying for those. I have appealed, and they continued to say that the will not cover the three other surgical procedures. I could have had the four different surgical procedures in four different operations, with four operations costing $100,000, or I could have had the four different surgical procedures in one operation, with the operation costing $20,000. I went with the latter, and I get the shaft because of it.

6 years ago

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Harry Keyworth Salt Lake City, UT

Review of prescription coverage for Aetna Coventry ...I'd give Aetna "0" if that were an option. I had a mail order prescription with 6 future approved refills - and placed an order at the final use of that first prescription. Order taken and nothing delivered. Called after two weeks of nothing ...only to be told the Dr. prescribing the prescription did not respond to Aetna's unneeded inquiry - which Dr's office denied. Requested Dr.'s office to regenerate mail order prescription - still no delivery. Upon calling Aetna a third time, they wanted ANOTHER confirmation from Dr - which was again provided. By this time I'm out of my heart medication and subject to stroke. Dr. office agreed to an emergency supply and called local pharmacy - which claim was denied because mail order process had been initiated. After two attempts with pharmacy and Aetna - Aetna would NOT override full payment required with plan's coverage as "Aetna's mail order was not the cause of the delay!" I'm still without medication 5 weeks after previous subscription expired. Throughout this trail, Aetna's representatives were nice but unable or not empowered to assist me as the customer ...and they would not submit the request to a higher authority because the higher authority had already ruled on the issue. I would NEVER recommend subscribing to Aetna Coventry. This is not the first, nor only prescription Aetna has fouled up the delivery. It's not worth the hassle to work with this kind of callous incompetency.

6 years ago

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Cindy Schexnider East Olympia, WA

It is open season for many people to be shopping for health insurance. Buyer Beware! We have had the same negative experience with Aetna as I have noticed others on here have, especially when it comes to a major medical cost, and isn't that the purpose of health insurance? They have been denying and stalling a necessary surgery for my husband. Their denials are weak and blatantly wrong, saying he doesn't meet all their guidelines when his Doctors and us can check off every requirement on their check list. Like others have said, they say you can appeal or pursue a civil action. Really? We need a lawyer to get them to pay medical bills? What is their insurance for? Our Doctors and us are completely frustrated and worried for my husband's future. We are confident they are responsible to pay. And we believe they know that as well, but they are pulling every string to stall which could mean permanent disability for my husband if he can't get this surgery soon, potentially even wheel chair bound. This is criminal behavior and we are in the process of filing a complaint with our State Insurance Commissioner. Getting your health insurance to pay what they promise to shouldn't be this painful. Health issues are hard enough without this fight!

6 years ago

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Stacy Flourtown, PA

I received a bill from my doctor for the bloodwork I had done for my annual physical. When I called Aetna, they told me it was denied because I didn't have the bloodwork done in the required 7 day period. I went 10 days after my physical appointment because I already had a scheduled mammogram at the same place and didn't want to miss more work. I explained that I was never informed that the bloodwork had to be within 7 days of the appointment as I have never had Aetna before and asked for an appeal because they could see I did both on the same day. I then asked for them to send me where it is written in my policy that I had to have the bloodwork done within the 7 days. I was then informed that it is not written in my policy. The 7 day rule is an internal rule. I asked for an explanation of how they can penalize a customer when the customer has no idea of this policy. I even called my doctor's office and they have never heard of this before. I am currently in appeal about this but feel something should be done about an insurance company basically scamming it's customers. If you are going to deny my claim because you say I didn't follow the rules, then you should be telling me the rules!

6 years ago

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Toni Meadville, PA

Just as others have stated if I could give them a 0 rating that’s what they would get from me. I was in extreme pain with a neck injury and all the doctors said I needed surgery and they said that they didn’t feel that it was - even after review, they said muscle spasms were not a reason for surgery MUSCLE SPASMS???? What I had was way worse. As soon as I could I changed to UPMC they didn’t blink an eye no argument they paid for it. The doctor told me that he didn’t understand how Aetna could get away with denying a surgery that I needed so badly - a three level neck fusion- and now I am scared for my husband who has recently been diagnosed with cancer . I worry that they won’t approve his treatment . I have no use for Aetna and we have been forced back to them by employers. I worry every day now about medical issues because Aetna is fine with the small stuff but something big happens and they refuse to pay . They disgust me.

7 years ago

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Rebekah Lynchburg, VA

I have been with them through my employment for over 12 years. I am in general happy with them. However of late, the prescriptions have been a problem. Getting paid and approved. I also am not happy that lab work is done through a 3rd party - Lab corp that I now have to pay.

7 years ago

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John San Diego, CA

I have orders that are in pending stages for days, and sometimes well over a week. These are orders that are flagged with messages like "we are checking inventory to see if we can fill your refill". How vague is that? This was 5 days after the order was placed. In the meantime, for some refill orders, you get random voicemails to call them back, and when you do, they dont need anything from you. Then you have some orders that just dont get processed. Nothing. You log in to check on the status of an order from 2-3 weeks prior and it shows cancelled. You call, and they give you some excuse like the credit card couldnt be processed (it could) or most commonly, they need to update the verification from the doctor (which the doctor's offices just shake their head at). Aetna is a joke, their processes and customer UI are absolutely horrible.

7 years ago

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Sandi St Louis, MO

Only gave Aetna star because you give less. My experience with Aetna is that Aetna is the absolute worst insurance that I’ve ever had ,and I’m 60. I can’t get an MRI 3 times now in the last 3-4 years when 2 different doctors have asked for it (different things wrong) and they refuse to pay any on a medication i was prescribed, and I bought my cpap supplies on line at amazon cheaper than I could get them though Aetna. Extremely the worst insurance out there .But the company I work for got Aetna because they got a good deal , they don’t care what we got to deal with because by law they have to offer us insurance so they got the cheapest one they could fine . Cheap for them ,terrible for us .

7 years ago

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Lindsay Monroe, GA

I was scheduled to have surgery on my cervical spine after doing everything else to help with the pain like physical therapy and taking years of pain pills and muscle relaxants. My right arm stays tingly, so it's now affecting my nerves and dangerous when I drive cause I have limited motion in my neck, however they denied my claim the day before surgery (after I already paid the doctor portion and did my pre op), I had everything arranged through my work and other people on taking care of me during the recovery time. The insurance knew 3 weeks prior to surgery, but chose to wait the day before. I'm trying to avoid a life on pain pills and pain. The insurance has no problem taking my money, so I'm covered, but refuses to use money to help make me better. Terrible insurance!!

7 years ago

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Chris Ziebarth Marysville, WA

I'm not sure how people can call this a good insurance plan. I am paying 45-55% out of pocket and can't afford to go to the Dr. anymore. They also taut their website as being the best, but I have a huge problem finding the right providers. I am searching for a provider, they don't exist. I try to find a hospital, I don't know how to spell the name, and if I search for it another way it comes up as #1 result (spelled the exact way I did ????) Then I try to use the filter which does nothing to the search. I tried by distance, returns are random, I tried by affiliation, results are random even though I am looking for Dr. in the hospital I chose. Then I said, ok I can narrow it by female vs male doctors and the results are both male and female doctors. How can a national company screw something like that up? I will switch ASAP and never look back. My family is suffering because we can't get simple care due to the cost of coverage. I pay $1000 out of pocket and my work pays an extra $800 and I pay 45-55% of the bills and my family limit is $9000 a year before they cover it all? How is that a good insurance plan? Some of the 5* comments are extremely general and repetitive. I expect paid for or bot written. Read the less than stellar reviews and you get a better picture.

7 years ago

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Kelly Westminster, CO

I was picking up my prescription when the Pharmacist told me that she couldn't fill it due to Aetna's abrupt (without any notice!) change in the way they cover prescriptions. She gave me a piece of paper from Aetna saying that I could get my prescription mailed, or go to CVS to get it filled. Since I was standing at Safeway, where I've filled the same prescription for the past 10+ years, I had to waste my time calling them to 'opt out' of their new way of wanting me to get my prescription filled. I had to waste at least 20 minutes of my time to ensure I could continue doing the same thing I've been doing. I'm paying premiums to this company to be inconvenienced?? Really?? Really, really not impressed!!!!

7 years ago

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Marz Barrington, IL

Most inept company that I have ever dealt with. Nobody knows what they are doing. Have to call numerous times to get the smallest thing fixed. And when you do call, you have to explain your problem all over again because these losers don't have any way to see that you have called numerous times and see that no one has fixed any problems that you called about. Finally got the problems fixed, paid for the year so we don't have to communicate with these no talents any more, and then they call today to tell me some other problem from the beginning of the year was their fault and was fixed, but was already repaired over a month ago. Once this year is over, I will never buy another Aetna product again.

7 years ago

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Vanesa

My company switched the insurance company into an Aetna international one and not only me but I speak for the rest of my colleagues at work we are very dissatisfied. Every time I make a claim is rejected with no further explanation. So I have to take my time to call every time to find out the reason why. Sometimes I have to submit the claim twice or three times because they kept changing their mind on the information I needed to enter. I just told my company I would like to switch back to Aviva which it has a better service and always payed the claims with no problems. Please stay away from Aetna insurance company.

7 years ago

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Shawn Mayfield

This is a horrible company. The amount of time you have to wait to get you payment is RIDICULOUS. The whole point of having this is so you don't get behind in bills while out of work but the time it takes to get paid is so long that getting behind is a guarantee. I'm still waiting to be paid and am now facing eviction because of it. I called and told them this and even tho I have been approved, I was told there's nothing they can do to quicken the direct deposit and that it will take another week for payment! Unacceptable! My family and I will be displaced by then as I have a max of 3 days to move out from the premises. My wife had disability once for maternity leave and the entire process from start to finish was HALF of what I've already been waiting. Be warned, this company is a joke!

9 years ago

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Kenneth Okerlund Orem, UT

I had this insurance while I was in the U.K for two years. They always were able to get me into a place where I would be taken care of. I had coverage for every issue I ran into while I was there.

9 years ago

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Sydney Charleston South Jordan, UT

We currently use Aetna for our health insurance. I have never had a bill not paid by them and have never had paper work. Its all taking care of by my doctor. This company is great.

5 years ago

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Gabe Burton Riverton, UT

Aetna insurance is really good, especially the higher-up plans. I pay 10% they pay 90%. It's awesome because my out-of-pocket maximum isn't very high, so prescriptions and Dr visits are almost always free after around June. It can be a more expensive plan, but to me, it's worth it!!

5 years ago

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Azrienne Davis Tallahassee, FL

This is the insurance that is provided through my employer and i have both dental and medical coverage. This insurance is accepted in plenty of doctors’ offices and comes with lists of what is covered and what isnt

5 years ago

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Roxana Perez ,

I have had this insurance for the past two years. They offer different plans that work accord to my needs. Additionally, their network is easy to navigate and find the right professionals for me.

6 years ago

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Dave_ Layton, UT

The insurance coverage I had was good. As long as you chose the plan that meets your needs it will be good. I chose a good plan of the ones elected from my company and it provided good coverage.

6 years ago

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Tina Igo Avonmore, PA

We have used AETNA for the past 5 years. We are impressed with the variety and levels of coverage offered. The online account access is easy and user friendly. Thank you AETNA for helping keep us healthy!

6 years ago

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Myken Salt Lake City, UT

We had Aetna Insurance before my husbands employer switched to Cigna. We loved it and felt the rates were reasonable, coverage was good, customer service was responsive and helpful. We were sad to have to change providers.

6 years ago

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Tony Gibson American Fork, UT

I had Aetna for a couple of years and thought they did a great job supporting us as we needed to use them. They were responsive and quick to pay. They didn't have as large of a network in my area as I would have liked but we were able to make it work.

7 years ago

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Jacob Shaner

I used Aetna while abroad in Indonesia for a few years. I was able to get coverage when visiting the several different hospitals. I was impressed that it was accepted out of the United State. The organization I was with provided the insurance.

7 years ago

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Nicole LeBaron Provo, UT

Aetna I recently just got, and I was a bit disappointed. They are not as good as some other health insurance companies I have had. My prescription that I take monthly was significantly more than what I wanted. As a college student that is a bit hard on my budget.

7 years ago

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Lori Salt Lake City, UT

Aetna has been a good health insurance for us. We have had many different kinds of insurances because of different jobs and Aetna is one of the better ones. Our monthly payment is pretty good but the best part is we were able to keep our same doctors.

7 years ago

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Craig Orem, UT

At a previous job we were covered by Aetna. I was pleased with the price but a little turned off by the network of providers. That is the only reason I am only giving 4 stars. We had to switch our Pediatrician because of him being out of network. Other than that, they were great!

7 years ago

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Brian Scott Provo, UT

Aetna is a great insurance company with good, comprehensive plans at fair prices. My family switched from Select Health to Aetna a year ago and the difference has been drastic!

7 years ago

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Katie Young Charlottesville, VA

I didn't have to use Aetna much when they were my insurance providers, but they were always pleasant and straight forward to deal with. I never had to wait more than 10 minutes on the phone and my issues were always addressed quickly. Their autobilling always went through with no problems.

7 years ago

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Ryan H American Fork, UT

I am a first-time Aetna user. The network isn't great in my area but they have so far been easy to work with. I did, however, just get a denial on a visit I had. Perhaps I am doing this review a little prematurely. My mind may change once I talk to them about my visit that should be covered.

7 years ago

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Brody B Orem, UT

High priced with average coverage. I felt like what I was paying during the time I had the policy was way to high considering that I had a higher than average deductible. Once I shopped around for different coverage I quickly found that I could get a lower deductible at a more reasonable price. I didn't have a negative experience with Aetna, just the pricing was an issue.

7 years ago

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Lindsey B Orem, UT

We had Aetna for our Health Coverage for many years. Never had any issues with them but I was never blown away. I did feel like they always paid our claims in a fair way and if I had any questions they were quick to resolve them.

7 years ago

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Chelsea Horrocks Salt Lake City, UT

I currently have a different insurer but I wish I still had Aetna. When I delivered my first baby they took so much of the expense off my shoulders and made the payments so easy and painless.

7 years ago

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Mildred Carter Woodbridge, VA

I also had this for my health insurance with a former employer. Again, they covered just about everything I needed - even an urgent hospital trip that resulted in about 2 days worth of staying. The pricing wasn't bad at all, but I also was only paying for myself, no family plan.

7 years ago

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Fernando Delgado Tempe, AZ

i have had Aetna for over 8 years really good health insurance and customer service always willing to help even contacting the medical offices them self in case their is an error on how insurance got billed.

7 years ago

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Kaitie Rodriguez Mesa, AZ

I currently have Aetna and I have been very impressed with them. They have a large network of all different kinds of doctors and have always been there to answer any questions about any claims I have.

7 years ago

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Lawrence Foster Scottsdale, AZ

My last 3 companies use Aetna. they have always handled my claims swiftly and competently. competitive rates and they have a huge in-patient Dr. list that always fits with my Drs.

7 years ago

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Roberto Pujol Chandler, AZ

I've been extremely happy with my health insurance coverage. They have great customer service and AETNA is accepted pretty much everywhere. They have several different plans to choose from that fit pretty much any budget.

7 years ago

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Logan Cook Vienna, VA

Overall, Aetna is good. I've received a few bills after hospital or doctor visits that seemed more expensive than should be after insurance, but otherwise, copays are about the same visit-to-visit. Aetna has a great in-network portfolio to utilize as needed.

7 years ago

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Sheryl Sabal Gilbert, AZ

Great provider! Customer service was always available and wait times weren’t more than 15 minutes. I’m a lupus patient and they covered most all of my meds. The only negative I would share is issues with claims. I was in a car accident and Aetna covered medical cost after my co-pay and deductibles. Since I’m receiving an under insured payment from my car insurance company, Aetna wants me to pay them back for the medical coverage. That’s crazy, why am paying insurance if I still have to cover my medical costs from an accident that wasn’t my fault.

8 years ago

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Melissa Reinoso Herriman, UT

I currently have a health insurance plan. They are great to work with and make sure that when you call you know your benefits before you go to a Dr. that happens to be out of network. They are great to work with.

8 years ago

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Anne Kimball Salt Lake City, UT

I had Aetna just for a short time because my company ended up switching, but while I had them, they made billing so easy. They always had it coded right and were always so willing to help me when I had questions!

8 years ago

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Boston Whipple Provo, UT

I used Aetna insurance while in Colombia volunteering. I had to call them frequently and they were always helpful and allowed me to get the volunteers into good hospitals. They required a ridiculous amount of paperwork on the back end that was overwhelming and excessive.

8 years ago

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Calista Huber Mesa, AZ

We had our second child under Aetna and it wasn't the best experience. We hadn't had any problems before that with Aetna - great copay and prescription benefits. It just didn't seem like the hospital worked very well with the insurance company. We payed up front for our baby and then were sent so many bills afterward, claiming they were going toward our deductible too. It was just much more confusing than it needed to be. But all in all, pretty great service!

8 years ago

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kma Chicago, IL

Terrible, terrible, terrible customer service. I have been on the phone for 8 hours trying to get an issue resolved. People either do not speak English and cannot understand my issue, hang up on me, or keep bouncing me around. Some of them tell me one thing, others tell me a different thing. One tells me that a complaint was filed, another tells me there is nothing filed. One sees the notes from previous calls, another tells me there are no notes. Eight hours on the phone and still not issue resolved. Will not be renewing my policy with them.

4 years ago

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Mama Mia Lenexa, KS

Aetna has to be the worst health insurance company out there. Their agents continuously gave out false information, made promises they didn't keep and denied, denied, denied coverage, EVEN when they said on the phone something would be covered. Their total lack of care for the client certainly drives one to think, do we really need or want insurance companies anymore.

4 years ago

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TWish Palm Bay, FL

Absolutely horrible company, I need and MRI for numbness in my leg, foot, and toes, but they denied it, and then they want you and your physician to jump through hoops to appeal the denial, where they will most likely deny you again, the longer they drag it out, they hope you will give up, that puts more money in their pockets! Stay far away from this dastardly company, they are detrimental to your health!

4 years ago