AETNA has the worst disability claims analysts i've ever seen and dealt with... they are rude, liers, and just deny claims so they don't have to pay out, and side w/ whoever the company you work for...
they take their time and extend the appeals because they are too lazy to get it done right away.. I don't think the disability analyts there are qualified at all...
they also seem to take alot of days off, switch from one analyst to another...to another... why? because one can't handle the claim so they need to pass it on? that makes me laugh...qualified my butt...
THIS IS MY STORY AND WHAT HAPPENED TO ME...
I submitted my leave of absence on Aetna's workability management also, it told me i qualified for short term disability..
i printed out the papers needed to be filled out and when done, had them faxed to Aetna...
Aetna they said they never recieved the certificate from my provider..about a week later i was told this..
when they got the "2'nd" one, they denied my short term disability because my "INTERNAL MEDICINE DR" put on the certificate i had chronic depression, he had referred me to a specialist dealing w/ behavioral health, so i made the appt. and she diagnosed me with Biploar depression after i told her ALL the same symptoms to my INTERNAL DOCTOR..
he had no idea i had the bipolar part..
so i appealed it, they said wait 45 days..so i did and sent in more info they needed
then they had to "EXTEND" it... why? I sent in a letter related to my dr. appts. i had before i went on leave and after i went on leave, copies of proof, my dr. also sent in notes from those appts.
so...THEY HAD TO EXTEND ANOTHER 45 DAYS BECAUSE OF THOSE 5 OR 6 PAGES... come on... do your work right and stop being lazy and just putting it off...
SO... they did the peer report, calling my dr. and my behavioral health dr.. that i STILL see every week, along with my meds. dr..
my "INTERNAL DR." told them i was acting "NORMAL"
even after i told him my symptoms i had and it was all caused from work and the managers being unprofessional, saying things to me that should have never been said, gettin me upset, angry, crying, anxiety, etc...AND I COULD NOT PERFORM MY JOB DUTIES/HANDLE THEM...
as a result from those events and other things... i ended up depressed which turned into bipolar, real bad, was told it was manic depression also...
i was out from May 2009 until Oct. 09
i got NO benefits or payments, all my bills got behind, credit cards not being paid, had to cancel some of them and now my credit report is bad...
my appeal was only part of my leave, they denied me from May 13'th 09 to June 10'th 09 because my first appt. with my behavioral health dr. was on June 11'th 09..
so the approved part of my short term disability was approved from June 11'th on until i went back to work... which was Oct. 2nd 09
But...after my appeal was decided on Oct. 15'th or so...they denied me again because of what my INTERNAL DR. said, i was acting normal...which i wasn't...
the Aetna "DISABILITY ANALYST" named "TABITHA" kept telling me since Aug. 09 another week, another week or so before the decision, etc...
SHE LIED TO ME!!!
so i cried, my boyfriend came home, saw how upset i was and called "TABITHA"
SHE WAS RUDE, LIED, and then told him/me on speaker phone "NOT TO CALL BACK UNTIL OCT. 15'TH 09"
I had asked her in another call pryer to that one how my benifits would be paid out if my appeal was denied or approved, since i was "APPROVED" for the Short Term Disability from June 11'th on...
SHE SAID SHE DIDN'T KNOW...
WELL... this is what she should've told me because she should've known, and i didn't know until Oct. 15'th when they denied my appeal again...and when i got the denial letter and their " FINDINGS" which was the "ACTING NORMAL" part...
According to my place of employment... which is...of all the places... "BANK OF AMERICA"
do you know what their policy procedures for their "ASSOCIATES" are??
YOU CAN NOT GO FROM AN "UNPAID" MEDICAL LEAVE...TO A "PAID" MEDICAL LEAVE..
I had no clue until i got that denial letter, didn't understand and called "TABITHA"
SHE THEN TOLD ME I WOULD RECEIVE "NOTHING"
NO BENIFITS PAID OUT...
EVEN THOUGH I WAS "APPROVED FOR SHORT TERM DISABILITY FROM JUNE ON...
I called what is known as "advice and counseling" for the Bank of America, that lady told me Aetna should've known that and told me..
Advice and counseling did nothing to help me, that was in Oct. 09 after my denial letter and talking to "TABITHA" from Aetna.
SO... because they took so long on my appeal, extending it, and no benefits paid, i had to "FORCE" myself to go back to the same place that caused me to not being able to perform my job as i couldn't concentrate, focus, i cried, got angry, irritated, anxiety, dropped work a few times that was done and had to put in order again...
i lost my regular position because "BY LAW" bank of america can do that after 16 weeks on medical leave...
i was still angry and upset and worse because i was put in a position again that i could not do before "a processor", as a result given the "workflow" one that i did before my leave... that i was outcasted from...why? Because i have Tendinitis in my hands that prevent me from getting my "numbers" or "quota" for what i do..which is check processor/ check encoding...like data entry..
I know i did very good on my job, all the trianees told me i did, and i helped them more than "others" who should have, taking on their responsabilities as they weren't, and causing me my symptoms also..
workflow is only supposed to get the work, pass it out, pick up the done work, and bring to the next department..
that's all i was supposed to do...not required to answer the trainee's questions or if they needed help..that is a "TRAINER" position..
i was NOT a trainer...but doing their job on top of mine...
SO... by the 2nd day i was back to work, i cried at my machine, got racing thoughts...and still to this day, put in the training room where i worked doing workflow and watching how they "CHANGED" things in that room while i was gone to get better, which shoud've been done before i left...
and seeing the "new person" doing "MY JOB" that i had for over 3 years...
i get angrier and angrier and cry everyday that i am there...
i get frustrated and in pain from my hands hurting, doing more damage... and not able to get the "1600" items per hour...
A NEW MANAGER TOOK OVER AND MADE THE CHANGES WHILE I WAS OUT..
I HAVE TALKED TO HIM A FEW WEEKS AGO, TOLD HIM MY SITUATION AND MY DISABILTY AND THINGS THAT "HAPPENED" AS A RESULT OF MY LEAVE...
I ALSO TOLD HIM I CANNOT BE IN THE TRAINING ROOM BECAUSE I AM SURROUNDED BY PEOPLE THERE WHO CAUSED ME DAMAGE, AND THE NEW WORKFLOW PERSON, GETTING ME UPSET/ANGRY, WATCHING...AND CRYING
I TOLD HIM I NEED TO GO TO THE PROCESSING FLOOR "A UNIT" SO I CAN TRY AND SEE WHAT HAPPENS...
HIS QUESTION..."WHAT ARE YOUR NUMBERS?" NICE HUH?
I CAN'T GET MY NUMBERS...CAN ONLY DO "1300-1400" AVERAGE..
I WILL EVENTUALLY BE PUT ON WARNINGS.. THEN BOOTED OUT OF THE COMPANY AS MANY OTHERS HAVE...
I WAS JUST TOLD THIS PAST FRIDAY 11/20/09 THAT I WILL BE MOVED TO A UNIT, AFTER A WEEK OF WAITING.. IN THE FIRST WEEK OF DECEMBER..
ANOTHER WEEK OF TORTURE BECAUSE OF THE HOLIDAY THIS THURS...
SHAME ON AETNA FOR LYING TO ME...TAKING THEIR SWEET TIME, NOT TELLING ME THE RIGHT THINGS THEY SHOULD HAVE, SHAME ON THEM FOR MAKING ME WORSE...EVEN TO THIS DAY...CRYING, GETTING ANGRY STILL AT WORK, ETC.. I FEEL IT WAS "BAD FAITH" ON THEIR PART, AND BY GOING BY WHAT MY INTERNAL MEDICINE DR. SAID..
WHEN THEY SHOULD'VE GONE BY MY BEHAVIORAL HEALTH DR. DIAGNOSED ME AS...
FORCING ME TO GO BACK BECAUSE OF THEIR LAZINESS AND NOT DOING THEIR JOB RIGHT...
I NEED MONEY FOR ALL THE NECESSARY THINGS I NEED, SUCH AS MY APPTS. WEEKLY, MY MEDS MONTHLY... LAMICTAL AND STRATTERA, AND OTHER MEDS I TRIED SINCE JUNE TO GET THE RIGHT ONES..
I NEED GAS IN MY CAR, INSURANCE, BILLS, FOOD, RENT, TO PAY MY SHARE W/ MY BOYFRIEND.. ETC..
MY BOYFRIEND ENDED UP PAYING FOR THINGS THAT I COULDN'T, I OWE HIM SO MUCH NOW..
IT PUT US ON A TIGHT BUDGET; ME TAKING OUT OF MY 401K TO PAY FOR WHAT I COULD UNTIL THAT WAS GONE..
I HAD TO PAY COBRA $100 A MONTH TO KEEP MY AETNA "HEALTH" INSURANCE IN ORDER TO GO TO MY BEHAVIORAL HEALTH DR. AS THEY DON'T TAKE "STATE" MEDICAL...
AND I WAS NOT ABOUT TO SWITCH TO ANOTHER FACILITY AND START "OVER" W/ ANOTHER DR OR PLACE..
I AM STILL WORKING ON GETTING THE STRATTERA DOSAGE RIGHT, AND LAMICTAL BEING INCREASED SLOWLY...AND GETTING BETTER, BUT IT'S STILL HARD..
COME ON AETNA...DO YOUR JOB RIGHT, AND MAYBE YOU WON'T GET SO MANY COMPLAINTS..
BECAUSE I'VE READ SO MANY OF THEM, AND CAN RELATE TO SOME.. I WONDER HOW MANY "BAD FAITH" LAWSUITS YOU HAVE AGAINST YOU...
AND AS FOR MY EMPLOYER.. SHAME ON YOU TOO...WE'LL JUST HAVE TO SEE WHAT HAPPENS, BECAUSE BANK OF AMERICA ALSO HAS NUMEROUS COMPLAINTS...FROM "ASSOCIATES" CALLING HR AND COMPLAINING W/ NOTHING GETTING DONE BEFORE I WENT ON LEAVE...UNTIL THE NEW MANAGER STEPPED IN...
BANK OF AMERICA SEEMS TO ALSO CARE MORE ABOUT THE PEOPLE THAT HOLD BANK ACCOUNTS/CLIENTS, THEN THEY DO FOR THEY'RE OWN ASSOCIATES..
AS FOR BOTH AETNA AND BANK OF AMERICA, I WILL TRY AND FIND AN ATTORNEY HERE IN CONNECTICUT TO HELP BRING THIS TO COURT AND "SUE" FOR DAMAGES THEY CAUSED AND STILL ARE...
I CAN'T QUIT BECAUSE I NEED MONEY, NOT IN THE RIGHT STATE OF MIND FOR AN "INTERVIEW" WITH A NEW JOB...
IF I CANNOT FIND SOMEONE TO HELP ME, I WILL FILE ON MY OWN TO CIVIL COURT...SEND LTRS TO CORPERATE OFFICES, NEWSPAPERS, MEDIA... ETC...
HECK, I THINK I'M GONNA COPY AND PASTE THIS AND SAVE IT...
WHAT GOES AROUND, COMES AROUND...
I WILL GET WHAT I DESERVE BECAUSE OF THEIR "ACTIONS" AND DAMAGES...
COUNT ON IT...EVERYONE WILL KNOW ABOUT THESE TWO "COMPANIES"
ANY ATTTNORY WHO MAY READ THIS AND WOULD LIKE TO HELP ME... PLEASE RESPOND TO THIS AND TELL ME WHAT I CAN DO, OR WHAT I SHOULD/SHOULD'T DO I WOULD APPRECIATE IT..
WRITE YOUR NAME/NUMBER AND IF YOU'RE INTERESTED AND IF I HAVE A GOOD CASE ON MY HANDS..
HAVE A NICE DAY TO THOSE WHO "DESTROY" OTHERS...
BECAUSE SOMEDAY " I WILL"
FROM: A MANIC BIPOLAR DEPRESSION PERSON HERE IN CONNECTICUT