My physician submitted a prior authorization for a procedure she has been recommending for over a year. Aetna denied it twice, both times with a generic letter citing lack of medical necessity, directly contradicting the written recommendation of the doctor who has been treating me for three years. The appeals process is designed to exhaust you into giving up and I genuinely believe that is intentional. Paid premiums faithfully for four years and the one time I needed real coverage they found every reason not to provide it.
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