Dear Ms. Cmuser:
Thank you for using the Aetna Navigator website to contact Aetna Member Services.
This is in response to your claim question on yourself for 12/03/08 from Dr. Y for $XXX.
We have processed this claim according to your non-preferred level of benefits because this provider does not have a contract with Aetna.
Search for Aetna providers by logging in to Aetna Navigator and selecting Find Health Care in DocFind.
Blah, blah, blah.
You have got to be kidding me. This cannot seriously be happening to me again. But it is. I went online tonight and there is Dr. Y listed as in-network.
This isn't the only type of problem I've had with Aetna. Everything from them saying I couldn't have two physicals in one year (I only had one - they paid for it after I faxed them proof) to them saying blood tests couldn't be covered because they weren't medically necessary (they were ordered by their in-network PCP, but I guess that doesn't qualify - or at least it didn't right away. They paid for them after I sent them paperwork and a letter from my doctor).
So, tomorrow I will call Aetna. I will start all over again. Then I will report them for being the lying scoundrals they are. What's the point of having insurance if you have to fight them all the time?