Filing · f0056

Aetna Better Health Premier Plan Michigan

CVS Health / Aetna · Medicare-Medicaid Plan · MI · H8026 · CY2025

This plan reported a 5.9% standard prior authorization denial rate for 2025, without publishing the underlying counts. The median for Medicare-Medicaid Plan plans of comparable size is 7.0%. 2 checks flagged this filing.

Standard denial rate
5.9%
This filing published percentages without counts. 33.3% of appealed denials were overturned.
Requests and outcomes
TotalApprovedDeniedDenial rate
Standard 5.9%
Expedited 3.8%

This payer also printed its own standard denial rate: 5.9%. The rate above is computed from the published counts, so the two can be compared.

Appeals of standard denials
Appeals filed
Denials overturned
Overturn rate33.3%

This filing publishes no appeal outcome. CMS-0057-F does not require one.

Turnaround
MeanMedian
Standard4.2 d2.0 d
Expedited38.6 h24.0 h
What the checks found
infoappeals_not_reported

no appeal outcome data published

infopercentages_only

filing publishes percentages without underlying counts; arithmetic cannot be verified