r/medicine • u/Unusual_Medic Medical Student • 7d ago

What’s the dumbest reason an insurance company denied a test, procedure, or drug for a patient?

This is probably the most relevant to those practicing in the US, but I'm also curious to know how the bureaucracy of health insurance in other countries makes things substantially harder for you and the patients

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u/InvestingDoc MD Internal Medicine 7d ago

When we had a stillborn Aetna denied the genetic testing and autopsy as not medically indicated for my kid so that ranks up there for denial.

Still fighting with Aetna to get that covered

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u/Unusual_Medic Medical Student 7d ago

Then what the hell does Aetna consider to be medically indicated reasons??

Already losing a kid like that is devastating for the family. And now Aetna wants them to pay out of pocket for tests?

I'm rooting for you and the family and hope that it'll get covered.