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For those of you who also use Aetna or may plan to. I wanted to share a story regarding my horroble

For those of you who also use Aetna or may plan to. I wanted to share a story regarding my horroble experience. I emailed my claim forms Friday Nov 7th for reimbursement, nothing major just $350 for a fixed benefit plan. How it's advertised is if I see a doctor throughout the year they pay $50 for a visit for copays. Since I had already paid my copays that is supposed to be paid to me. I called on the following Monday or Tuesfay just to confirm my emails had been receieved. I was told 10 business days to have an answer. I waited. The Tuesday before Thanksgiving, I call again. It has now been 10 business days. My emails were not turned into claims. I was assured that all of them had been received and someone would assign claim numbers to have them reviewed ASAP. I wait. I call the following Monday Dec 1st. I have a two claims created and one is a claim for a date I didnt even submit. My other claims are lost apparently. An escalation specialist found my emails. Assured me they would get claim #s assigned and have the review expedited. I was told I needed itemized bills not medical records, but someone would call my doctors cuz you have a waiver as part of my claims form package to get what they needed. I didnt believe that for one second, so I called every one of my doctors and asked them to re-run my paid invoices with this secondary insurance. I wait. It is now Dec 16th. One of my claims has been approved. 6 have not been paid. And of those 6, 4 of the emails I sent have still not had a claim generated. I was assured again someone would get it resolved. It is now closer to 2 months than 10 business days and my emails are still "lost". No claim numbers. No examiner. No outreach to my doctors. No benefits paid. They still owe me $300. This timeframe is unacceptable and shows signs of incompetence of fraud. I have lodged formal complaints with the BBB and the department of insurance. I wil be contacring my HR team tomorrow. Be warned.

Date of experience: Dec 17, 2025