Aetna Disability Claim Denied? Get Legal Help Today

Disability: Chronic Back Pain, Degeneration of Lumbar Discs

Problem: Emilia, a housekeeper, became entirely unable to work due to chronic back pain and degeneration of her lumbar discs. Aetna paid long-term disability benefits for 24 months, but ceased paying her benefits, stating that in order to continue to receive benefits, she needed to prove that she was disabled from any occupation.

Success – Reinstatement of Benefits: Our Aetna disability denial lawyers could see that Aetna had failed to properly evaluate our client’s claim. The insurance provider relied excessively on certain evidence, while ignoring evidence that was supportive of her disability. We drafted an appeal that exposed these mistakes, and reached out to her doctors to obtain reports supporting her disability, which were vital to her case. These reports allowed us to prove that Emilia was unable to work in any occupation. In the end, we were successful in reversing the insurer’s denial of benefits and our client was awarded ongoing benefits.

Disability: Osteoarthritis

Problem: Howard, a Repair Technician from New York suffered from osteoarthritis. When his doctors removed him from work, he applied for long term disability benefits through his employer’s plan. At first, Aetna approved his claim and paid his benefits. However, when the definition of disabled changed under the policy, requiring him to be disabled from Any Occupation, Aetna denied the claim arguing there were other occupations he could perform.

Success – Denial Overturned: Concerned, Howard hired Fields Law Firm for help. Our Aetna disability appeal attorneys reached out to his doctors for specific narratives answering questions aimed at fighting this decision. Additionally, we received an independent vocational assessment pointing out that our client could not, in fact, perform any other occupations in the national economy. After receiving our appeal Aetna reversed its denial, paid our client his back pay, and restarted his monthly disability payments.

Disability: Lumbar Pain, Cervical Radiculopathy, Bilateral Carpal Tunnel with Neuropathy

Problem: Dennis was forced to quit his job as a machine operator due to extensive nerve pain along his spine. His symptoms resulted in a complete inability to keep up with the heavy physical demands of his job. Aetna paid benefits intermittently for the first six months, stating they needed extra medical records and doctors’ notes. Finally, Aetna denied benefits stating the medical evidence in the file was insufficient to show ongoing disability.

Success – Reinstatement of Benefits: Dennis soon hired Fields Law as his Aetna disability claims attorney to appeal the wrongful denial decision. Our team gathered medical evidence from his doctors and requested detailed reports refuting the findings of the insurer’s doctors. Those reports were submitted along with legal and factual arguments regarding selective review of the evidence in the denial letter. Aetna quickly reversed its decision and reinstated benefits. With his financial security reestablished, our client was able to focus on treating his conditions and pursuing his Social Security Disability case.