{ "media_type": "text", "post_content": "Not sure where to ask this. I went and had a wellness visit and a visit to check a torn rotator cuff at my local hospital system in July. I had Aetna through KPMG. \n\nNovember 1st I switched to my wife's health insurance through her company.\n\nI just got a letter in the mail Friday from the hospital. My wife's insurance rejected all of my claims, didn't pay anything, and I owe the full balance personally.\n\nShouldn't Aetna have paid this? Can I go and make Aetna cover it retroactively?", "post_id": "61e47c3e1723dd00267e8287", "reply_count": 6, "vote_count": 1, "bowl_id": "552d1d24dc1c586b09d2d051", "bowl_name": "Consulting", "feed_type": "crowd" }

Not sure where to ask this. I went and had a wellness visit and a visit to check a torn rotator cuff at my local hospital system in July. I had Aetna through KPMG. November 1st I switched to my wife's health insurance through her company. I just got a letter in the mail Friday from the hospital. My wife's insurance rejected all of my claims, didn't pay anything, and I owe the full balance personally. Shouldn't Aetna have paid this? Can I go and make Aetna cover it retroactively?

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Yes Aetna should cover it. Why was it sent to your wife’s insurance?

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I had something similar happen after giving birth/very delayed insurance submissions (on the hospital end). I just called hospital and reminded them it should have gone to the other company, they resubmitted, no issue

Yes they can cover retroactive, call your hospital billing department and have them resubmit/explain their error and that you had a different provider at the time (and for a number of months after)

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Your previous coverage should pay it, you might have to jump through quite a few hoops to get them to, but don’t give up.

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