Ann's complaint:
January 08, 2013

Insurance Company: Aetna
Coverage Type: Health Insurance

• PolicyHolder Service - Incompetent Employees
• PolicyHolder Service - Delays/No Response

I had a bad 2011....
I totalled my vehicle and later that year was hospitalized for an autoimmune condition that rendered me a quadriplegic. These were COMPLETELY UNRELATED INCIDENTS.

Somehow Aetna attached my medical claim to the car accident. On the day after the accident I had a physical and was pronounced healthy and good to go. This one visit should have cost me $48.00

Fast forward 5 months. On Labor day weekend, I rapidly become weak and then am paralyzed from the neck down (I can still breathe and am not incontinent). It takes several months to recover. In the meantime, I am receiving bills from my medical providers for the parts not covered by insurance. I pay each as I get it. Fast forward to December 2012... I get a letter from Rawlings, who I later find out is a collection agent hired by Aetna to get $5660.00 from me or AAA. At the same time I receive a check from AAA for $5000.00. This is wierd, I take a close look at the paperwork and see what has happened. Aetna screwed up and applied the illnes claims to the auto accident claims.

2 phone calls later, one to Rawlings and one to AAA and everyone is on the same page. I void the AAA check and Rawlings says to do that and they will send me a letter confirming that we have straightened this out. No mention is made of my personally being billed for any of this.

4 days later I receive a letter from Rawlings demanding $5,660 immediately. Nice. I never shirked a bill and history shows I paid every one that came to me and in a timely manner. Aetna screwed up and now is demanding that I pick up the pieces and pick them up NOW. I'm currently trying to file a complaint/investigation with the California insurance commission but their website seems to be inaccessable from my workplace computer. I do not like Aetna and would not have them by choice, but they are all that is offered by my employer.

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