Anonymous wrote:PP here. I never got my refills from Aetna. They basically said that the medication that my RE ordered, which they approved but sent only half of the amount ordered, was medically unnecessary. If it was medically unnecessary, why was it approved the first time (even if only half of the amount was approved). Also, what makes Aetna think that they know more about what med i need for fertility treatment than my own RE.
Wow - this is insane.
Perhaps there should be a letter written to OPM signed by all those who had issues?
OPM should not be part of an insurance scheme that intentionally screws people over, which Aetna does (I haven't used them for fertility - switching to MD IPA).
I also think the "three attempt limit" is crap. Perhaps the cost should shift, but there should still be coverage.