Couldn’t agree more. Same shit, different year. Deal with what we can control and screw the rest. Will probably lose 15 and gain around 45 this AEP.
pros and cons of Aetna Medicare?
- Thread starter bryan mccormick
- Start date
25MercuryHP
Super Genius
- 238
Here in my area free golf reimbursement under extra benefits. Wow….. who pays for all this free stuff?
You and me
, regulators’ newly published audit of CVS-owned Aetna in Texas found the insurer was both overestimating and underestimating its QPAs for certain air ambulance services. That’s because Aetna was using the wrong methodology to calculate the metrics, the audit found.
The CMS also found Aetna wasn’t sending providers required disclosures under the No Surprises law, including the window for kicking off third-party arbitration and the insurer’s QPA for a claim.
www.healthcaredive.com
The CMS also found Aetna wasn’t sending providers required disclosures under the No Surprises law, including the window for kicking off third-party arbitration and the insurer’s QPA for a claim.
CMS’ first No Surprises audit targets Aetna, finds some noncompliance
The findings are a “big deal,” according to one expert, as CVS’ health insurer didn’t follow some “major requirements that are essential to ensuring that the IDR process runs smoothly.”
- 29,972
I have to say that I've been very happy with Aetna's MAPD ....so far. Nothing serious, but had some tests done and so far, we've only had a few $35 specialist copays. Just got a bill for my annual breathing tests for COPD. $3,718 and I owe $35., regulators’ newly published audit of CVS-owned Aetna in Texas found the insurer was both overestimating and underestimating its QPAs for certain air ambulance services. That’s because Aetna was using the wrong methodology to calculate the metrics, the audit found.
The CMS also found Aetna wasn’t sending providers required disclosures under the No Surprises law, including the window for kicking off third-party arbitration and the insurer’s QPA for a claim.
CMS’ first No Surprises audit targets Aetna, finds some noncompliance
The findings are a “big deal,” according to one expert, as CVS’ health insurer didn’t follow some “major requirements that are essential to ensuring that the IDR process runs smoothly.”
Not just Aetna. Plenty of crooks down here.
www.walb.com
Former Georgia insurance commissioner sentenced to prison after pleading guilty to health care fraud
Oxendine, 62, admitted to collecting kickbacks in a scheme in which the doctor pushed physicians who worked for him to order and bill insurers for unnecessary medical tests on patients.
T Sparks
Guru
- 292
Ought to be strung up by his....Not just Aetna. Plenty of crooks down here.
Former Georgia insurance commissioner sentenced to prison after pleading guilty to health care fraud
Oxendine, 62, admitted to collecting kickbacks in a scheme in which the doctor pushed physicians who worked for him to order and bill insurers for unnecessary medical tests on patients.
well you know what I am saying.
He will be. 1st time he drops the soap.
AgentGeneral
Guru
- 326
Hey you put a pic up, now we know you aren't actually Somarco.
Just kidding
Now to the OP....2 things about Aetna here, 1. they have an HMO-POS with a low MOOP $3900,
2. They have one of the only ways for me to check eligibility right now since I'm not lucky enough to have access to MaRx
Thanks DonP for letting me in on that tidbit. Vantage eligiblity tool is making me crazy.
Easier to tell us apart. I'm the cute one.
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