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	<title>Vermyndax&#039;s Lair &#187; Aetna</title>
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		<title>Who Needs Doctors When the Insurance Company Knows Better?</title>
		<link>http://galaxycow.com/blogs/vermyndax/2009/05/12/who-needs-doctors-when-the-insurance-company-knows-better/</link>
		<comments>http://galaxycow.com/blogs/vermyndax/2009/05/12/who-needs-doctors-when-the-insurance-company-knows-better/#comments</comments>
		<pubDate>Wed, 13 May 2009 04:25:56 +0000</pubDate>
		<dc:creator>Vermyndax</dc:creator>
				<category><![CDATA[Personal]]></category>
		<category><![CDATA[Aetna]]></category>
		<category><![CDATA[Business]]></category>
		<category><![CDATA[Health]]></category>
		<category><![CDATA[Health care]]></category>
		<category><![CDATA[Health insurance]]></category>
		<category><![CDATA[Insurance]]></category>
		<category><![CDATA[Medicine]]></category>
		<category><![CDATA[Narcolepsy]]></category>

		<guid isPermaLink="false">http://galaxycow.com/blogs/vermyndax/?p=582</guid>
		<description><![CDATA[There is a really disturbing trend developing in health care.  I can sum it up thusly: the insurance company will decide the fate of a patient&#8217;s treatment. One company in particular seems to know better than any medical professional that has ever taken a medical class: Aetna.  You see, Aetna thinks that because the doctor [...]]]></description>
			<content:encoded><![CDATA[<p>There is a really disturbing trend developing in <a class="zem_slink" title="Health care" rel="wikipedia" href="http://en.wikipedia.org/wiki/Health_care">health care</a>.  I can sum it up thusly: the <a class="zem_slink" title="Health insurance" rel="wikipedia" href="http://en.wikipedia.org/wiki/Health_insurance">insurance</a> <a class="zem_slink" title="Company" rel="wikipedia" href="http://en.wikipedia.org/wiki/Company">company</a> will decide the fate of a patient&#8217;s treatment.</p>
<p>One company in particular seems to know better than any medical professional that has ever taken a medical class: <a class="zem_slink" title="Aetna" rel="homepage" href="http://www.aetna.com/">Aetna</a>.  You see, Aetna thinks that because the doctor didn&#8217;t do a sleep study on me and there is no &#8220;official&#8221; diagnosis, then he has no right to request that I obtain a <a class="zem_slink" title="Medical prescription" rel="wikipedia" href="http://en.wikipedia.org/wiki/Medical_prescription">prescription</a> to fight the <a class="zem_slink" title="Narcolepsy" rel="wikipedia" href="http://en.wikipedia.org/wiki/Narcolepsy">narcolepsy</a> for a month while they line up some time in the <a class="zem_slink" title="Clinic" rel="wikipedia" href="http://en.wikipedia.org/wiki/Clinic">clinic</a>.  Therefore, there simply refuse to let me have it.</p>
<p>Oh sure, I could pay for the prescription myself &#8211; but if a doctor wrote the prescription, why must the insurance company outright deny the claim?  Better yet, my <a class="zem_slink" title="Medicine" rel="wikipedia" href="http://en.wikipedia.org/wiki/Medicine">doctors</a> have to spend time calling and justifying their work and prescription recommendation&#8230; which, they did&#8230; and&#8230; well, Aetna still just doesn&#8217;t care.  No narcolepsy <a class="zem_slink" title="Drug" rel="wikipedia" href="http://en.wikipedia.org/wiki/Drug">drugs</a> for me.</p>
<p>This isn&#8217;t the first time Aetna has known better than any of my doctors.  I&#8217;m sure it won&#8217;t be the last.</p>
<p>I&#8217;m going to try to get the doctor to work through the appeals process on this one since the study is still the better part of a month away, but it&#8217;s pretty unnerving that health insurance companies, in the interest of the Bottom Line, can screw their customers&#8217; health like this.</p>
<p>Impressive, Aetna.  I can&#8217;t wait to get rid of you.  Perhaps I should start an Internet campaign against you.</p>
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