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Kansas Medicaid Insurer Aetna On Even Thinner Ice With State Officials, Sunflower State Radio

TOPEKA ― Aetna remains in hot water with the state of Kansas, which recently threatened to cancel the company’s Medicaid contract. In late July, the Kansas Department of Health and Environment gave Aetna Better Health 10 days to resolve a laundry list of long-running problems. But on Tuesday, the agency said the insurer’s reply doesn’t cut it, “nor does it present a clear path to compliance.” Aetna gets another shot at fixing what health care providers describe as chronic issues with payment, among other concerns. Aetna provides health insurance to around 100,000 Kansans under KanCare, the state’s privatized Medicaid system. It’s one of three companies with contracts to do so, and replaced...

Aetna Coverage for Eating Disorder Treatment

Using Aetna for Eating Disorder Treatment With over 22 million members, Aetna is one of the largest health insurance providers in the United States. It offers many different health insurance plans, primarily through employers. If you are considering getting treatment for an eating disorder, the following guide will help you navigate the complexities of using Aetna for eating disorder treatment. There are several different types of eating disorders, including anorexia nervosa, bulimia nervosa and binge eating disorder, but they are all characterized by an obsession with food, weight and appearance. Someone with an eating disorder may experience any or all of the following symptoms: Refusal...

Aetna Medicare, UAW Trust Medicare Advantage Plans

Philip & Catherine Hodge, UAW Trust Aetna Medicare Advantage members Philip: My name is Philip Hodge. I worked for General Motors for forty six years. I’m thankful for the job that I had, that I was able to provide for my family, take care of them, send them to school and do all the other nice things that people want to do for their family. Catherine: Well we got the letter that everybody was going to Aetna unless they decided to opt out and just stay with their own insurance. Philip: And then we had an Aetna meeting. The Aetna representatives—they went pretty much from A to Z and we made the final decision that was it. Catherine: So we checked to see if all of our doctors were there...

Submit GOP Requests, Aetna International

The Guarantee of Payment (GOP) tool is here to make your life a little easier. You can log in to the portal and fill out a quick and easy form to provide us with the information we need. In some instances, we can automatically approve the request and provide you with a GOP in real-time. If the request requires review, the tool will automatically route the information to our pre-authorization team. Our team will reach a decision and you can view the details right in the portal It is important to note that this process does not apply to pharmacy approvals. In the Middle East, this tool will also not apply to out-patient maternity and dental approvals. Get started today If you haven’t already...