View Full Version : Insurance-Aetna
01-29-2007, 05:56 AM
We may be changing insurance companies to Aetna. Has anyone had any experience with them and Lupus? If so, do they consider it to be a pre-existing condition. We've been with the same ins. co since I was diagnosed 3-1/2 yrs. ago so this is a bit scary for us. I'm on tons of meds and injectible MTX once a week. Our current ins. would cover the oral MTX but doesn't cover the injectible, go figure. I never thought I could give myself a shot, but never say never. I have 5 grown kids and one 17 year old. After I got the syringes, I showed all of them so they wouldn't think Mom had gone off the deep end.
Anyway, I would appreciate any info. Thanks and have a great day !
01-31-2007, 09:40 AM
We have Aetna and they have been fine so far. I had them before I was diagnosed tho so I don't know if they consider Lupus a pre-existing condition ...I would expect so. They have paid everything for me so far with no quibbles at all. Good luck!
01-31-2007, 10:16 AM
In most states, insurance coverage is regulated by state law, so insurers who write policies for that state have to comply with state law about exclusions and coverage for pre-existing conditions. If you have insurance provided by an employer, then federal law also comes into play. Since state laws can vary widely on prexisting conditions - your best bet is to contact your state's insurance department or commissioner for information. In most states a webside will be available with FAQs about coverage issues.
01-31-2007, 02:20 PM
Thanks for the info. I'll go to the website and see what I can find out.
02-01-2007, 11:27 AM
In case you were having trouble finding the info, here's a link to the Texas information on insurance coverage
Hope this helps
02-01-2007, 01:13 PM
Thank you so much ! I was having some difficulty finding it.
02-21-2007, 09:56 AM
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I HOPE THIS WAS OF HELP FOR YOU AND OTHERS
03-27-2007, 02:16 PM
I have not checked this in some time so sorry for such a late post. I presently have aetna and overall they have been okay. But I was treated with Rituxan and they did not cover it. I was not pre-approved due to an oversight and after treatments I got a bill that was unbelievable. Please just make sure that you are pre-approved. Rituxan is still considered experimental for our disease so be careful.
03-27-2007, 03:35 PM
based on my previous insurance and HR experience, most insurers will consider lupus a pre-existing condition. :cry: :x