Aetna Health Insurance Reviews

If I could leave 0 stars I would. My wife was to start treatments tomorrow for cancer and Aetna decides to decline coverage. They will be paying a hell of a lot more if her conditions worsen because they wanna be cheap bastards. She's worked for the state of PA for many many years and has had this insurance for a long time and they always wanna decline coverage. This is literally life and death and they do not care about anyone!

Customer service stinks. Quit reading script out of the book and listen to the member. Sounds like 1 step away from total automation. Do not use Aetna!!!!!!

Denied my surgery and told my doctor I would have to do 6 weeks of physical therapy before the approved it. 3 weeks into physical therapy they deny my physical therapy. Worst experience I have ever had with an insurance company. I'm guessing the CEO needs another 100 million to line his pockets and screw over members. P.S. I work for the state of pa.

I’ve now had multiple frustrating experiences with Meritain Health customer service, not just one isolated incident. Resolving issues over the phone has been extremely difficult due to a combination of poor call quality, communication barriers, and inconsistent information from representatives. This most recent issue resulted in delayed claim processing and a massive medical bill with a near-immediate payment deadline from my provider. Trying to sort out urgent insurance problems is stressful enough without struggling just to clearly communicate with customer service. Health insurance companies should ensure their support systems are accessible, understandable, and capable of handling time-sensitive billing issues effectively.

Have had Aetna for several years and never really had a problem until now. Recently moved states, did all the things I needed to move my coverage from the old state to the new. 1 1/2 months ago. First they put my husband on the wrong plan and didn't even bother to change mine. I called and spoke to a agent at Aetna and got a plan signed up for to start the first of this (May) month. Only problem is they evidently can't be bothered to input it so I can use it, now I have nothing, no way to see a doctor, no access to prescriptions, I am diabetic and in need right now of critical supplies I can't get. The also promise an extra benefit that gives a card to use to help pay for gas, grocery, utilities, otc meds. Husband got the benefit but no way to use it because they won't send the card.

Scam/Fraud - avoid Aetna. They take your money but do not provide service in exchange. Aetna blocks/delays prescription refills which leaves me without medicine every 30 days. Aetna blocks/denies 90 day fills. I'm forced to ration medication due to their refusal to provide the service that my employer and I paid them for. We held up our end of the bargain, where are you Aetna? Aetna is a scam that promises you a service, takes your money, then refuses to uphold their side of the deal. Scam.

Do Not use this company! This is the worse insurance company I have ever seen. They will deny coverage for needed procedures and you and your doctors can appeal but they still will deny. I am basically bedridden with a spinal injury that requires a set injections just to get the swelling to go down. This is something I’ve been doing for 15 years never had a denial.

Ive been with Aetna Medicare Advantage for 6ish years. Had them for my stroke, sepsis hospitalization, neck and foot surgery and then cancer treatments. Never once had a problem. I read today that Aetna is now utilizing Ai nd computers to consider requests for treatments and procedures. Gone now is the personalized service it had. UHC had to go before congress for the same thing Aetna is doing. Hopefully there is another option. Supplement insurance may be better now. Sadly Aetna is going down the Ai rabbit hole.

Any review that isn't 1 star is a bot or an employee. They deny everything. Generic Medication that I've been on for 10 years denied. Daughter to urgent care denied. Why am I paying 15k a year for health insurance that doesn't cover anything.

They never reimburse for any claims. Horrible company.

Aetna multiplied my premium 12x in 2 years and would not listen to my concerns. All phone calls are shunted to the Philippines and although the associates mean well, they are given no tools and are there only to shuffle members around. I paid my April 1 bill on time and in the exact amount, and Aetna CANCELLED my insurance, saying that they had sent a letter stating that the premium should be paid by 31 March - One day earlier. I received no such letter from Aetna. I have spent hours and hours on the phone with no resolution, even though I paid the bill on time and in the correct amount.

I was scheduled for a simple procedure, microdiscectomy, for a herniated disc that has been impinging my left sciatic nerves for over 5 months. Aetna denied my surgery the day before it was scheduled to take place. I have MRIs to prove the problem and have tried three different physical therapy groups over the course of 5 months, done the exercises diligently at home, tried a chiropractor and had three steroidal epidurals with no relief or results. Aetna has delayed my care and has caused me to be forced to live in further pain. Their customer service is useless and has no ability to help their members. We previously had United Healthcare for 8 years and never had an issue with any necessary procedures. I highly recommend United Healthcare and STRONGLY ADVISE AVOIDING AETNA. You will not get the care you need. My surgeon's office said this always happens with Aetna, they currently had received 5 denials from Aetna that same morning!

They denied a $1231 claim for lab work even though the doctor said they covered it for other patients. Aetna had multiple road blocks to appeal and gave me the royal run around for almost a year. All my customer service experiences were atrocious. I switched to a Blue Cross Keystone 65 plan that covers all lab work. They have been very good so far.

Denied prior authorization due to missing PT documents. I've done 6 months of PT. When I got the notes from my physio, my surgeon faxed them to Aetna 3 times. The system kept "glitching" and the appeal was never filed. Ridiculous. Now I'm paying for the surgery out of pocket.

If I could give them zero stars I would. Prior to having 2 tests done, I logged into Aetna’s estimator and used the location of the test and the CPT codes. For one test, the estimate was 1227.00 and Aetna covered only1537.35 For the second test, the estimate was 1128.00 and Aetna covered 1348.54. Aetna $530.89 short in what they should have covered.

I just got off the phone with these folks only had this insurance for 13 days already about to find a way to switch tomorrow. Why do I need prior authorization for prescriptions I’ve had for 9 months or more. You knew what I had going on when you accepted my application so why not automatically approve everything I need. Then I called asking for them to authorize my prescription and the man say, "I can give you a list of providers." I got a pcp and the prescription already. Are you listening? I spent 40 minutes on the phone and got nowhere so then I asked for a supervisor. He put me on hold for 3 minutes. Came back and said 3 more minutes. I said, "Never mind. You have thoroughly proven how inadequate this insurance company is and I will be finding a new provider."

Wish I could give a zero. I am currently stuck with this worthless insurance with my job. I have a rarer condition and they deny everything. Medication, needed MRIs, etc. Before I took my job I checked their stupid portal to make sure my specialist was in network, said she was. Then as soon as my insurance was effective, she now is not in network. Stay the hell away from this insurance. You pay into this crap to get NOTHING!!!

If you have the choice to choose Aetna, I would carefully review their prescription list. Unfortunately, I did not have a choice in switching our Health Insurance provider. The company I work for, I assume, switched insurance to save money, which ends up costing us more in the long run. It depends on who you speak with at Aetna. They are particularly fond of people having their medications filled at CVS, which the CVS is operate as smoothly as Aetna. Now my doctor has to fill out all this paperwork. We have to wait another 30 days to get a response. It’s one thing after another, and just to be clear, I take one medication that’s it not 20, not 10 one and have been taking it for more than seven years, it works. They want me to try their preferred prescriptions, which are not even the same type of medication that I take.

Specialists cost high, OTC last year USD75.00 + USD75.00 help. This year only USD20.00 every 3 months.

One star seems really generous. Constant mistakes over paperwork. Lying about calling providers for you, giving inaccurate information on who is in network. Can't make this stuff up. Wish my company other any other health insurances plans, wow what a disaster.

What a crap insurance company, I work for the company that I got an echocardiogram at and this insurance is still billing me for $1300 for it. My primary care doctor said I needed to have this imaging test done to see why I have chronic low blood pressure but I had no idea that it was going to cost me so much out of pocket, even at my own employer. I do not get this amount of money billed to me after a mammogram, and I use my employer for that test also. As a result of this high bill, I canceled any primary care appointments this year. No thanks, Aetna, you don’t care about healthcare.

Beware. I am beginning to question the reason for spending so much on insurance. I recently visited an in-network urgent care facility. The flat fee for this clinic is 210$ with no insurance. I have insurance and good insurance at that but nonetheless am paying 635$ for the same care because those are contracted rates with insurance companies. I recognize I am paying out of pocket until deductible is reached but this is why insurance is so expensive and the system is so broken. Very disappointed in the treatment and philosophy behind this practice.

How can people on limited incomes afford the new copays for specialists that Aetna Medicare Advantage has put in place? Our specialist copay went from 40.00 to 75.00. This is rotten and ridiculous. They also took our OTC benefits away which we used every quarter.

I've had Aetna as my insurance provider for 12 years. As my body has transitioned from healthy athlete to dealing with chronic illness necessitating surgery - the quality of care from Aetna has diminished significantly. We are currently situated with my second surgery denial and submitted an appeal. As I have spoken to others in my workplace about their health struggles and Aetna making it harder, there seems to be a consensus that Aetna is failing its chronic members. I did not choose this life. I have documentation to warrant a medical need. How bad do I need to get to have non-emergent, progressive degeneration saving surgery? Healthcare needs to change. I can't deal with health issues interfering with my work, relationships, finances, and life on top of proving to an insurance provider (not my multiple doctors) that I have a problem that can be helped.

Absolutely the most garbage insurance I have ever had. Three months and this joke of a company has not covered one basic pain medication cost and I have had to pay cash every-time. Thank god it's nothing major like brain surgery because I would definitely be without a brain 🧠 if I depended on this crap insurance to do the right thing. Stay well away from aetna ever being your choice for health care coverage. You will live a happier life without aetna..

I would give one star if I could: where do I start all insurance companies are terrible but Aetna brings incompetence to a new level, if its this hard for health care works God only knows what its like for members. I can ask a basic question on availability (like requested) as provide my NPI and TIN with my question, then literally get responses that don't address my concern at all but say they need my TIN to answer when I clearly see it in the reply chain... then I provided it and they basically restate my question and provide zero helpful information! If you call please keep your request short and simple. Their staff has no critical thinking skills or maybe they're just burnt out. IDK.

I would have given them a 1/4 star, but that option is just not there. I work in the Health Insurance Industry, and by far, Aetna is the worst of them! From a professional stand point, they are difficult to obtain clear aggregate claims data. From a personal perspective, they state in my plan that Brand, specialty drugs will be a $100 copay, however, after being in need of **, they want to charge me over $7,000. This is insane and contradicts my plan summary. Only save and grace for me, My Aetna plan will end after only having it 3 months! I would tell EVERYONE! stay clear of Aetna, Cigna and UHC, top worst 3 providers! Just awful.

Terrible company. They put me on Wegovy with my previous doctor. I have since moved and have a new doctor and they denied the doctor's claim because they say I have not made progress and do not have a good outcome with the drug. This is simply a lie. It does not account for the fact is most weight loss was under my last doctor. My weight is now rising again but they will not listen. They offer no alternative or help. I'm only still with them as my employer has no other option.

I made a bad bad mistake switching from UHC to Aetna. Now I have to get OTC from CVS 50% more on price, than at other stores except Walgreens. SO the insurance I have must be invested in CVS to force me to use it. Thanks. Can't wait to go back to UHC.

Absolutely worthless, most worthless insurance there is. High drug deductible, can't get my drugs without contacting me doctor everything for a refill. Doctor is fed up dealing with this idiots as much as I am.