After chemo for jaw bone cancer, my husband was scheduled for a mandibulectomy & fibula free flap surgery. The surgeon indicated minimum (best case) hospital stay would be five days. Aetna pre-authorized for only a three-day hospital stay. On the third day, they did nothing to see if it was necessary to authorize additional days. I was a Workers Compensation Adjuster. I know that these should be authorized based on medical necessity. I asked the Aetna nurse assigned if they could find a single example of someone who had this surgery only needing to be in the hospital for three days and explained that if they could not find even a single example, their decision was a business decision based on profit and not on medical necessity. On day three I was on the phone, yelling at them that they needed to extend the authorization. Instead of visiting my husband in the hospital on day three, I was on the phone with them all day.