Aetna

I talked to my PCP about starting Wegovy, and she agreed and sent it to my insurance company. They denied it immediately, with no reason listed. For reference, I am 22 years old, 5'2, and 237lbs. My BMI is 42.3. I am considered severely obese. I have stage 3 endo and adenomyosis, which makes it damn near impossible to lose weight like a normal person with eating right and working out. So thats why I thought Wegovy would be great. What do I do now? My insurance company denied me. I cannot afford to pay out of pocket for this medication. I already sent an appeal and my doctor is going to talk to them one on one and discuss my health conditions and such but like???? ER docs don't bat an eye when you ask for narcotic pain meds, which you can get easily filled at the pharmacy and pay 2 bucks, but people are having to pay over $1,000 for their life saving diabetes medications and others because their not covered??? What the hell is going on with the world.

Earlier this year I had to change all my medical providers because Aetna EPO stopped considering Providence “in network.” I’ve heard a rumor that Aetna may be dropping OHSU as well, which would leave no major hospitals in Portland in-network. Does anyone have knowledge into whether this will happen? And what people with Aetna should do if there are no in-network providers in town?

Under the terms of the transaction, each outstanding share of Aetna common stock is being exchanged for $145.00 in cash and 0.8378 shares of CVS Health common stock.  CVS Health is not issuing any fractional shares in the transaction. Instead, the total number of shares of CVS Health common stock that each Aetna shareholder is entitled to receive is being rounded down to the nearest whole number, and each Aetna shareholder is entitled to receive cash for any fractional share of CVS Health common stock that the Aetna shareholder is otherwise entitled to receive.

The transaction values Aetna at $212 per share or approximately $70 billion. Including the assumption of Aetna’s debt, the total value of the transaction is $78 billion. The combined company's shares are listed on the New York Stock Exchange under the ticker symbol “CVS.” The Aetna brand name will continue to be used in reference to the health insurance products. Going forward, Aetna will operate as a standalone business within the CVS Health enterprise and will be led by members of its current management team.

It says it did not issue any fractional shares, but how was shareholders of Aetna given 0.8378 share of CVS? where did the share come from?

Aight, we gotta do something.

I’ve been in the company for a year, I’m in a department that is kinda like a sales job mixed with customer service and I wfh. This first year I was bringing in more patients/billables than anyone else on the team, some of them there for years. And it wasn’t by a little, it was double the money any single other team member was bringing in to the department.

Everyone was hyping me up saying i’m going places and I got an amazing future in the company etc. Money was not put where their mouth is, started the job below $20 an hour and am still there, they just gave a .50cent increase and that’s supposedly what they do every year for everyone regardless of performance/quantity/money you bring in as revenue.

Utter ridiculous abuse, I’m checking out and dropping my billables by 700% because they’ll pay me the same. There’s no commission. Can we unionize at demand human acknowledgement and pay for work? Let me know what you all think, thanks for reading.

Just got a note from one of my providers at Evergreen stating that Aetna is dropping Evergreen. Sounds like starting October 1st. WTF? Anyone else know more here?

Edit/Update:

Just got the below in MyCharts.

“After working with Aetna since the fall of 2022 to come to a fair agreement that would allow EvergreenHealth to continue to accept Aetna insurance products, EvergreenHealth will no longer be in-network as of October 1, 2023. We sincerely apologize for the inconvenience this may cause. We know that access to healthcare on the Eastside is already limited given high patient demand, and we understand our community wants to receive care locally, close to home, from doctors they trust. We will continue to advocate for you. …”