gail Posted August 9, 2006 Share Posted August 9, 2006 I know I am not alone My school changed plans as of July 1. My previous insurance took me through the whole lung cancer fiasco without a single bump. I am just 30 minutes from Philadelphia, and belong to the bigger-is-better theory of hospitals. With this new insurance I have to ask my primary for PERMISSION to get scans done at the hospital where I have had every single cancer test but one done. Luckily, our health plan gives us a health advocate who makes the phone calls and tracks people down. She did get the okay from Aetna, but I will believe it when the bill comes in paid. I was polite but emphatic about my case. My first scan is a Dexascan. Normally not a big deal, but I reminded them that I am a double breast cancer survivor now taking breast cancer drugs which can lead to osteo. And my best friend had a CAT scan done . . .enlarged lymph nodes in the abdomen . . . and her primary asked for a PET scan. Aetna denied it because the doctor there wanted her to have a CHEST XRAY Then I was watching GMA and they did a piece on autism. As a teacher my radar went up. Those parents all remarked that insurance does not pay for therapy for autistic children. HUH? I have alerted my business office as to my insurance issues and am keeping them well documented. When I return to school in September if we have a contract I will be vocal. I feel better now. gail Quote Link to comment Share on other sites More sharing options...
Kasey Posted August 9, 2006 Share Posted August 9, 2006 Boy do I understand, Gail. Good luck with it all (contract too)!!!! Kasey Quote Link to comment Share on other sites More sharing options...
cindi o'h Posted August 15, 2006 Share Posted August 15, 2006 Gail, I understand completely what you are talking about. You are right it is the administration that contracts with the ins. company. If all of the other people in your education system knew what their contract was like, they would be hollering too. You never know when it will be their turn to need insurance. Can you start a chain in the school system so that all are appraised of your experiences with Aetna? Squeaky wheel gets the grease. Good luck on this. Cindi o'h Quote Link to comment Share on other sites More sharing options...
gail Posted August 15, 2006 Author Share Posted August 15, 2006 Oh trust me, email is a wonderful thing, and those who need to know already know. I leave no stone unturned . . . Thanks all gail Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You can post now and register later. If you have an account, sign in now to post with your account.