Aetna Health Insurance Reviews

If I could give zero stars I would. Actually, I would give minus stars. I have a very bad back and doctor suggested a treatment that would help a great deal. I was unable to walk, navigate stairs, pick up my grandchildren, garden, exercise, bend over, etc.. The test procedure allowed me to do all of those functions at a much greater ease. But the test was temporary and I needed to complete the process. Aetna declined the procedure. I and my doctor appealed it three times reiterating all of these functions that without the procedure, would give me no quality of life. All three appeals were met with a big fat no. To say Aetna is inhumane is an understatement. They made everything during my appeals very very difficult and time-consuming. We’re talking hours and hours of emails and phone calls. If you have a choice in your insurance selection, I would tell you to steer clear of Aetna. They are also extremely expensive.

Signed up for Aetna Insurance through a broker and the Healthcare Marketplace earlier this year. I had to switch providers because in Jacksonville, Florida the doctors did not accept Oscar Insurance. Anyway I seeing an Orthopedic surgeon for Osteoarthritis in the left hip. Was told that since I had not been a customer for 6 weeks, I had to pay $ 250.00 out of pocket for an MRI of the hip. Which I paid and the results showed damage, the doctor agreed that surgery is needed to replace the hip. But Aetna asked for records to support the doctor’s diagnosis, which the doctor did not provide. Aetna made the determination that the hip was not damaged enough to require surgery. So since that was the case I had to move out of Florida and cancel the policy. The hip still needs to be replaced, I now live in Ohio am on Medicaid because of unemployment.

Worst insurance I have ever had. Took both of my children for back to school physicals to the PCP listed for them on the insurance card. Both were denied because the address that was on the paperwork that the doctor's office submitted did not match up to what they had listed on their end - the doctor's office has two locations. Apparently one location is in network and the other is not (same medical group, same set of doctors, same everything, just a secondary location). Called multiple times and was able to get one of the claims to go through, but the other still remains denied. Receive nothing but canned responses from customer service. Was told they would contact the doctor's office the following work day to request a claim with the correct address. They never followed through. Ended up having to pay for the physical out of pocket.

Went well for a bit until I needed to feel something more costly, they denied it saying that the reason was not sufficient, even though it was documented the exact reason that they said I needed the medicine for was well documented for years and years and years, decades in fact. So they must be the ones doing their own review on whether or not you can be covered, they will deny you any way they possibly can even if you have the right medical history they still deny it? Very upsetting, it’s a corrupt world and fraud is prevalent everywhere. You can’t get anything that you pay for or that you signed up for and they will try to weasel out any way they can. They’re supposed to be there to help you and they greatly hinder your well-being.

I am hesitant to even give one star. This is by far the worst health insurance I have ever had! In addition to the very high co-pays, they have denied 2 prescriptions that I have been on for years, and now have denied an MRI ordered by my orthopedic doctor! I cannot wait until open enrollment so I can get rid of this insurance!!

Have had several issues with Aetna and them not paying for services. Would never recommend this insurance company to anyone out there that value their time and don't want to spend 20 hours dealing with one single claim like I have been.

I was promised when I signed up with Aetna Medicare that I had a dental fund of 2500 dollars. I did not receive my total dental benefit because Aetna filed my claim as a medical claim. After fighting this claim for two years I was told by Aetna that would not refile the claim. I was to go to my dentist and have them send back the funds they received from the original mistake filed claim. Aetna paid 1500 on the claim and I paid over 1000 out of pocket. The dentist will not send any funds back because they were totally paid up. This was in 2022 that I was short paid out of my dental fund. Aetna will not help me anymore on this claim. I will never sign up with them again. I was ripped off. Don't sign up with Aetna.

I am happy with the coverage from Aetna for my Medicare part C and D and I would rate the company higher if it weren’t for the phone calls I get offering some sort of in home wellness check. I’ve politely declined the service multiple times but they still keep calling. I asked them to stop the phone calls multiple times but the calls continue. Ugh!!

Won't pay for the MRI my doctor says I need until I take meds and go to physical therapy. So now Aetna is dictating my medical treatment. How is this legal??? They are NOT doctors, and they don't know my medical history or symptoms, but they have the power to override the recommendation of my doctor simply because they don't want to pay. Stay in your lane, Aetna. Pre-authorizations should be illegal. Many doctors won't even accept these plans because they don't have hours to spend fighting with Aetna to get them to cover a patient's scan. I pay $500 a month for this plan, and so far they have covered next to nothing. I'll be choosing another insurance company when re-enrollment comes around.

I had to call back because the department system hung up on me twice. Aetna phone support for claims could barely complete a proper sentence. I submitted the same claim multiple times and they could not see it. They couldn't even provide me with an email address to send the claim. Only fax and mailing address with no case# to reference. What is this, the 1960s??? Then the automated system hung up on me before I could provide an audio review.