Aetna Medicare Advantage - contract H8597
CVS Health / Aetna · Medicare Advantage · H8597 · CY2025
This plan reported a 7.3% 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.
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | — | — | — | 7.3% |
| Expedited | — | — | — | 8.0% |
This payer also printed its own standard denial rate: 7.3%. The rate above is computed from the published counts, so the two can be compared.
| Appeals filed | — |
| Denials overturned | — |
| Overturn rate | 90.6% |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
| Mean | Median | |
|---|---|---|
| Standard | 1.5 d | 0.0 d |
| Expedited | 4.3 h | 0.0 h |
no appeal outcome data published
filing publishes percentages without underlying counts; arithmetic cannot be verified