Aetna is the medical insurance company that provides coverage for state employees, decides whether individual claims are approved, which means they will continue to second guess & question doctor recommended medical procedures & prescribed medicines that certified medical professionals deemed necessary. Even if that medicine or procedure is listed as among the covered items, Aetna Healthcare is paid by the NC Government to run their employees' health insurance benefits, also charge their clientele (those state government employees) for their chosen, which is payroll deucted monthly coverage premiums. Additionally, any medical services received by them state employee paid plans are subject to co-payments, usually prior to receiving doctor recommended medical procedures, medicines, etc. Then, after the operations, procedures, treatment received, deductibles & out of pocket costs that Aetna policies require, must be paid to either the medical facility/ practice that provided services OR to Aetna, by the individual account holder. Seems like Aetna gets paid by the state to run the program & paid by the clientele & by the medical practices & they pay out to doctors, for services rendered much less than what all those sources are constantly paying them. It's time to end this middle man version of a medical care ponzi scheme. The NC Insurance Commission should run the state employees health insurance benefits program & end denials of anything doctors deem necessary. The savings from dropping Aetna can make ending deductibles & copays a thing of the past, too. These insurance based health benefits programs are not providing the best care, it's providing unnecessary revenue for multi billion dollar corporations that are not qualified to make medical decisions, while repeatedly reporting record profits & higher cost to employees, medical service providers, hospitals, & taxpayers. Too much, as well, to the medical insurance plans. DO BETTER NC!
Jamie, I read your comments above and appreciate your perspective. While the Health Plan Board will determine premiums for public employees, this will certainly be a big issue of the 2025 legislative session.
It wasn't the voters who made the mistake. It was the county vote collectors. They didn't write it down. This is also a new rule this election cycle so they didn't know.
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Justice Riggs WON. No issue at all, NC
Aetna is the medical insurance company that provides coverage for state employees, decides whether individual claims are approved, which means they will continue to second guess & question doctor recommended medical procedures & prescribed medicines that certified medical professionals deemed necessary. Even if that medicine or procedure is listed as among the covered items, Aetna Healthcare is paid by the NC Government to run their employees' health insurance benefits, also charge their clientele (those state government employees) for their chosen, which is payroll deucted monthly coverage premiums. Additionally, any medical services received by them state employee paid plans are subject to co-payments, usually prior to receiving doctor recommended medical procedures, medicines, etc. Then, after the operations, procedures, treatment received, deductibles & out of pocket costs that Aetna policies require, must be paid to either the medical facility/ practice that provided services OR to Aetna, by the individual account holder. Seems like Aetna gets paid by the state to run the program & paid by the clientele & by the medical practices & they pay out to doctors, for services rendered much less than what all those sources are constantly paying them. It's time to end this middle man version of a medical care ponzi scheme. The NC Insurance Commission should run the state employees health insurance benefits program & end denials of anything doctors deem necessary. The savings from dropping Aetna can make ending deductibles & copays a thing of the past, too. These insurance based health benefits programs are not providing the best care, it's providing unnecessary revenue for multi billion dollar corporations that are not qualified to make medical decisions, while repeatedly reporting record profits & higher cost to employees, medical service providers, hospitals, & taxpayers. Too much, as well, to the medical insurance plans. DO BETTER NC!
Jamie, I read your comments above and appreciate your perspective. While the Health Plan Board will determine premiums for public employees, this will certainly be a big issue of the 2025 legislative session.
It wasn't the voters who made the mistake. It was the county vote collectors. They didn't write it down. This is also a new rule this election cycle so they didn't know.