Filing · f0075

Aetna Medicare Advantage - contract H1608

CVS Health / Aetna · Medicare Advantage · H1608 · 2025

This plan reported a 8.2% standard prior authorization denial rate for 2025, without publishing the underlying counts. The median for Medicare Advantage plans of comparable size is 10.9%. 2 checks flagged this filing.

Standard denial rate
8.2%
This filing published percentages without counts. 92.4% of appealed denials were overturned.
Requests and outcomes
TotalApprovedDeniedDenial rate
Standard 8.2%
Expedited 12.5%

This payer also printed its own standard denial rate: 8.2%. The rate above is computed from the published counts, so the two can be compared.

Appeals of standard denials
Appeals filed
Denials overturned
Overturn rate92.4%

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

Turnaround
MeanMedian
Standard1.5 d0.0 d
Expedited7.9 h0.0 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