Insurer Denies Teen’s Prosthesis Claim, Forcing Family to Pay $7,500
Gabrielle Guerrero was just 15 when a vehicle accident left her with a partially amputated left foot. Doctors told her she might never walk without help. Now, at 21, she relies on a custom prosthesis—but her insurer, Aetna, refused to cover the cost of a new one.
The accident took Guerrero’s toes and half of the front of her left foot. Her first prosthesis was fully paid for by insurance. But when she needed a replacement, Aetna denied the claim, calling it 'not medically necessary' for comfort.
Guerrero’s mother stepped in, charging $7,500 to a credit card so her daughter could walk at her college graduation. Even after NBC News contacted Aetna for comment, the company rejected Guerrero’s request a second time.
Guerrero now uses the new prosthesis daily, but the financial burden fell on her family. Aetna’s decision left them covering the full cost, despite her policy’s earlier support for a similar device.
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