I purchased Over-the-Counter test BinaxNow test kits from Walmart on 1/15/22. On 1/26/22, I mailed the Aetna completed form “COVID-19 Test Kit Reimbursement Claim Form”, filled out and signed, along with the paper copy printed as proof.
I then got a notice dated 2/10/22 in the mail headed “We are unable to process a prescription drug claim that you submitted for reimbursement”. It followed by stating “You recently asked to be reimbursed for a prescription drug claim. Enclosed are copies of the document related to that request. We are unable to process the request for the following reason(s): o No Valid Drugs Submitted We cannot provide benefits for these charges, because the prescription was filled before the plan member’s coverage was effective or after it was terminated. If you were covered at this time, please call the toll-free number on your benefit ID card.”
Is this a glitch, or is it possibly related to the fact that I submitted it too early for Aetna’s “systems to catch up” to the new policy change?
There is a process where I have 180 days to appeal.
I did end up switching jobs and left the job (where I had a policy with Aetna) on 2/9/22. Since their notice is dated 2/10/22, I am also wondering if they figured out I was leaving and decided to say I no longer had a valid policy that they could find. However, I did purchase the test kits when I was still employed/still had a valid policy, and I submitted the claim with enough time for them to receive before I left the company I was at.
submitted by /u/krahenjt
[link] [comments]I purchased Over-the-Counter test BinaxNow test kits from Walmart on 1/15/22. On 1/26/22, I mailed the Aetna completed form “COVID-19 Test Kit Reimbursement Claim Form”, filled out and signed, along with the paper copy printed as proof. I then got a notice dated 2/10/22 in the mail headed “We are unable to process a prescription drug claim that you submitted for reimbursement”. It followed by stating “You recently asked to be reimbursed for a prescription drug claim. Enclosed are copies of the document related to that request. We are unable to process the request for the following reason(s): o No Valid Drugs Submitted We cannot provide benefits for these charges, because the prescription was filled before the plan member’s coverage was effective or after it was terminated. If you were covered at this time, please call the toll-free number on your benefit ID card.” Is this a glitch, or is it possibly related to the fact that I submitted it too early for Aetna’s “systems to catch up” to the new policy change? There is a process where I have 180 days to appeal. I did end up switching jobs and left the job (where I had a policy with Aetna) on 2/9/22. Since their notice is dated 2/10/22, I am also wondering if they figured out I was leaving and decided to say I no longer had a valid policy that they could find. However, I did purchase the test kits when I was still employed/still had a valid policy, and I submitted the claim with enough time for them to receive before I left the company I was at. submitted by /u/krahenjt [link] [comments]Read Morer/HealthInsurance