Aetna Health Insurance

Wow! Aetna has been a nightmare. I pay extra for the PPO plan so that I can see specialists without a referral, as well as visit out of network providers. The out of network feature is very important to me, considering a lot of doctors in the DC area do not accept Aetna (probably because it's so horrible), and instead, they operate on an out-of-network basis. As a result, I frequently have to submit my own claims. Unfortunately, every single time. the claim is processed incorrectly. I then have to spend hours on the phone each week fighting with representatives for a simple reimbursement. It's to the point where expect it to take around 2 months and 10 phone calls to finally get my claim processed correctly. After that, it takes a few weeks to finally receive a check in the mail.

This company’s practices should be illegal. They are in the insurance business not in the business of determining prescriptions. They are rejecting a medicine I have had for 20 years. Just try to wear you out.

An AETNA sales person called my elderly father and convinced him to change insurance companies from one he had for 40 years. Then AETNA would not pay what his other insurance company paid - even though they claimed they would be less expensive. We are now looking at a bill from them for thousands of dollars that say he owes as a co-pay. There should be something done about this company preying on the elderly. I filed a claim with them and they dismissed my claim. If anyone knows of any kind of action I can take - I would appreciate the information.

As I have read on this site from others, I have had similar experiences with Aetna denying claims from their In-Network Providers. In 2020, I went to see my heart Dr which was in-network, Aetna denied the claim as in-network and tried to bill me for out of network coverage, this was after while on the phone with Aetna their representative stated that the provider was in-network. I had to file 4 appeals and get my HR department involved as well as our Insurance advocate to finally get them to cover this claim as in-network.

Health insurance is about peace of mind. Aetna was nothing but frustrating experience. They will go above and beyond to decline your claims later. In my case, they were declining my Minute Clinic shots (shots, then clinic visit) after I switched health insurance (two years later). They will mail you a letter in writing with disconnected response telephone number and bad URL webpage. Complaining to California Department of Managed Health Care is a waste of time. You may eventually pay for whatever services you used out of your pocket. To sum up, you could use Aetna to avoid health insurance penalty, but don't expect more than that.

If you are searching for a health care plan for your employees stay far away from Aetna and Altius plans. This company is fraudulent and doesn't care about their plan members, especially in their time of greatest need such as emergencies. The back of the insurance card says go to any emergency room in the event of an emergency. However, this is fraudulent and a lie. If you go out of network they will refuse your claims and turn their back on you after all you and your employer have paid them. They will leave their participating members with huge medical bills and offer no support.

One would think calling the appointment number, one would be able to cancel an upcoming appointment. NOPE! I chose the option for them to call me back instead of waiting 10min. WOW! what a clown show! Received a call back and of course you need to go over all the ridiculous questions to verify who you are. After that was established they couldn't find anything. On the ridiculous phone for 25min. Then I chose to speak to a supervisor, there was another 8min and still no answer. Too many fools who should not be working in the customer service capacity. EMBARRASSING! Horrible Customer Service.

I've had Aetna for several years through my employer. I barely use my health insurance at all. But the two times I had to use it (one for a cavity) and recently for the ER (for a gallbladder attack) I was sent surprise bills in the mail, which upon reviewing, looks like they didn't cover much at all. Thousands of dollars in bills. The time I had a cavity, I had to pay for this procedure and that procedure and this is not covered and that is not covered. And this recent ER visit, I'm paying out of pocket for radiology.

My insurance provider is listed as Aetna through my employer. Cool. So, when I needed to see a therapist for PTSD I searched the website, read my plan benefits and looks like it is covered. I go to a therapist, give them my insurance information (which they accept, and are in Network), and have several sessions. Yesterday I get a notification that my claims for therapy have been denied and I owe 1300.00. It is super great for my mental health to receive such news. I panic, and call Aetna. They tell me oh no! Those services are covered by Optum. What is Optum? Who knows! I googled, I tried to find info on Aetna's website, I did everything I could. There is no helpful information about this online.

I have to use Aetna since my company partner's with them. I pay into the top one available Aetna Choice POS. I needed a surgery because I have chronic sinus infection which cause me to have headaches, facial pressure and throwing up due to mucus. I also have one of the worst deviated septum so I cannot breathe at all out of the right side of my nose. This makes it hard for me to sleep etc.