Scott 🇮🇱🇺🇦🗽<p>tl;dr — If you're switching jobs or have had a "qualifying event", choose literally any <a href="https://babka.social/tags/healthinsurance" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>healthinsurance</span></a> provide that isn't Aetna. </p><p><a href="https://babka.social/tags/Aetna" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Aetna</span></a> has repeatedly denied my prior auth for a life-changing (and potentially life-saving) drug, one that had been covered for over a year on Anthem. Aetna's reason? I'm only eligible if I've previously had a <a href="https://babka.social/tags/heartattack" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>heartattack</span></a> or <a href="https://babka.social/tags/stroke" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>stroke</span></a> — events that this drug would help prevent.</p><p>Let the cynicism of that sink in for a moment. </p><p>Essentially, Aetna demands that I give my condition a chance to kill me before they'll grudgingly agree to pay for the thing that could've helped me survive.</p><p>That isn't just greedy: it's wrong. And I will be sharing that observation and the rest of our interactions with the state insurance board.</p><p><a href="https://babka.social/tags/healthcare" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>healthcare</span></a> <a href="https://babka.social/tags/fuckAetna" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>fuckAetna</span></a></p>