Filing · f0077

Aetna Medicare Advantage - contract H0628

CVS Health / Aetna · Medicare Advantage · H0628 · 2025

This plan reported a 7.7% standard prior authorization denial rate for 2025, without publishing the underlying counts. The median for Medicare Advantage plans of comparable size is 10.5%. 2 checks flagged this filing.

Standard denial rate
7.7%
This filing published percentages without counts. 89.5% of appealed denials were overturned.
Requests and outcomes
TotalApprovedDeniedDenial rate
Standard — — — 7.7%
Expedited — — — 13.7%

This payer also printed its own standard denial rate: 7.7%. The rate above is computed from the published counts, so the two can be compared.

Appeals of standard denials
Appeals filed—
Denials overturned—
Overturn rate89.5%

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

Turnaround
MeanMedian
Standard1.3 d0.0 d
Expedited7.7 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