Aetna Health Insurance Reviews

I recently had a physical therapy appointment and decided to check my medical coverage to see if the deductible would apply. The app/website stated that it was covered at 100% and that the deductible is waived. Fast forward I received a bill for $799. I called customer service to inquire, and was informed that the waiver is based upon where services are provided, such as in hospital or outpatient. I asked to speak to management, and of course no one was available. I filed an appeal and it was denied. How is it fair to the member when there's no indication of that stipulation on the app/website under medical coverage? Why have an app/website that has so-called detailed information for guidance, and review when the information isn't accurate? Also, looking to customer service for help isn't any better. I will never recommend this sorry excuse of an insurance company to anyone.

Absolutely awful. I can see why on here it’s less than 2 stars. My mom is having memory issues and I discovered she had lapsed her coverage. I discovered this by searching a large stack of unopened mail, I only saw a bill notice from them but not any cancel notice. I called right away when I discovered it but it was past 90 days let them know about her memory issues. They would even consider letting her policy get caught up with payment. Only gave the option of starting a new one… Why would anyone want to do that with such careless support.

My husband switched jobs and Aetna was the only choice for healthcare. We went a year without healthcare because we didn’t want to pay the high price for Aetna. I have a few health problems, nothing major same as my husband so enrollment came around again and we signed up. BIG mistake. Almost $800 a month out of his check for us to have healthcare and now 3 months into it all they do is DENY everything the doctor prescribes. My husband has been on ** for years, they denied it saying he has to try what they allow first and if it doesn’t work, they will approve **.

If I could give less than one star, I would. I chose (sadly) this plan, which in fewer than two months, I now regret. Aetna failed to properly process my claim more than a week before I ran out. I called to check on the delay, they claim that they... rejected it... immediately (20 years, only medicine to take). Several days later after checking on them, Aetna considered that now "a new claim," and had NO INTEREST that I would be missing my medication for several days because of them (i.e., HEALTH CARE?). I will be ill and miss work for more than a week because of this.

If I could give negative stars, I would, I had to have surgery on my leg to reattach my quadricep. They denied my locking leg brace, denied an MRI, and Denied my pain Meds (after surgery). My Surgeon has sent them my records NUMEROUS times and every time I call in to discuss another "Denial" they say that they need my records again. All Aetna cares about is saving Money and screwing over customers.

I have submitted a claim for fitness reimbursement three times starting in November of 2024. Each time I call at and ask why I haven't been reimbursed they can't tell me why, only that I have to resubmit the claim and it will take another 30 to 45 days. The four Customer Service people I talked to at Aetna are clueless. They have no idea what's going on and all they do is ask you to resubmit the claim over and over again so that they will never pay you!

Aetna bills preventive. The benefit for physical therapy is $50 each visit but Aetna billed $100, the exactly amount the therapist charges for folks without insurance. At the very beginning I thought it's an error. The more I see the more I feel they did it on purpose after 12 times they overbilled. They are trying their luck of percentage of folks who pays the bill as soon as they sees the bill. I do not trust Aetna's integrity and will definitely not use their insurance next year.

Today April second 11 a.m I spoke to Noel. She gave me false information that T. B. shots were covered, Tiffany told me hours later that it wasn't. I have witnesses to this. It's unacceptable to have two sets of different information in a couple of hours with the same company. Now I don't know what to do and the manager won't speak with me. I regret giving this person a good review. Always wait later until the job is done to give any review. I do not recommend this place!

Your third party customer service that claims to be representing Aetna really really are no good, plus I gave no consent for a third party to have access to my "Medicare" info. They Yell at you and do not listen. I have "Aetna Medicare eagle plan for veterans" and the only reasons I got this was on the insistence of a Aetna Customer Service rep. She told me is was the same plan I had with "United Health Care" except Aetna has a monthly give back to my part Medicare part "B" and the dental deduction was higher. Also, I was told by Customer Service I was only able to us my OTC at CVS. I went to use and I was surprised to find out I was denied.

I had to switch from Kaiser Permanente to Aetna Insurance Company from January 2025, been on the phone 30 days a month until April 1st today that they never send messages to my doctor regarding my medication. All workers are absolutely horrible customer service, my insurance nothing covers for my medication bill for just sensors costed me over $1500 dollars and insurance covered $70 dollars, absolutely garbage. Sooner later this company will be out of the business, doctors are all joke, don't even have knowledge to find a patient problems and wrong diagnostic, just 1 visit charging $600 dollars, not even my doctor seen by nurse, unbelievable. Avoid this company.

Aetna Medicare is like the narcissistic boyfriend, who at first treats you like a princess, promising you the moon and stars. But after you are married gradually starts showing exactly what they are really about. In order to gain market shares, Aetna made promises that they knew would draw in customers, an impressive quarterly stipend for OTC items, reimbursement for certain exercise equipment, and a benefit card that could be used towards office visits co-pays. Sounds great right? Shortly after signing, you are notified that the reimbursement for medical equipment has changed and you may or may not be reimbursed. Not to mention that most people on Medicare probably don’t have the liquidity to lay out the money waiting for reimbursement in the first place.

Will not pay for MRI after Medicare Okay. DON'T use this Company, They send you around to Different department on the Phone and you will be told, "This is not the right department." This will go on about 3 hrs. Hopefully you will hang up In Frustration.

I would give this a NEGATIVE ZERO if I could. I have never had any problems with insurance before accepting Aetna last October. It’s the first time I’ve tried a supplemental plan and I could not have chosen worse!! The hoops they want you to jump through to simply get your prescriptions completely covered to approving an MRI, is absolutely ridiculous!! I have NEVER FELT LESS CARED FOR THAN WITH AETNA!!!! I would pick ANY OTHER INSURANCE THAN THIS CRAP!! So frustrating! And it’s so completely unnecessary! When management sucks, the entire company sucks!!!

They do not cover much of anything unless it's a huge bill that somehow manages to meet their INSANE deductible amounts. Absolutely horrendous to work with and is extremely expensive compared to the minor coverage you get.

I got a job at Starbucks just so I could get fertility coverage. Joke was on me though cause Aetna denied it. How are you gonna deny ivf coverage for someone who has blocked tubes!? Ivf is the only way to get pregnant with blocked tubes! Paying 300 bucks a month for insurance and for what!? Uncaring people making decisions for all of us. Sickening.

Since February 1 2025, I had been trying to reach a solution for my medication Steglatro. The associates from the call center in the Philippines lied about faxing the pre authorization form to the primary physician, Dr never received, 4 time wasted quality time and energy, the folks keep transferring the call to CVS pharmacy, they too are horrible "Axis of evil". They want me to call Aetna. They care less for patients. Out of pocket purchase cost steglatro $1000.

I had Aetna Medicare Advantage. I had emergency gall bladder attack. Ambulance service from my home to local hospital. Aetna paid the claim. On the same day later I required emergency surgery 45 minutes away in other hospital, same ambulance service was used but Aetna denied the $4392 claim. They told a couple lies. First they said the 2nd denied ambulance claim was paid to the Hospital which is separate than the ambulance service. They did pay the same service for first trip but denied the same ambulance the 2nd. They also said the ambulance service would not send a waiver of liability. The ambulance will not waive the liability they want paid. So they turned this to a collection service insisting I pay immediately. Aetna is in the wrong. I guess I must sue them now. Aetna denied my appeal.

This was a pre authorization letter that I received that indicated partial denial. The letter did not specifically state the reason for the partial denial nor indicate the CPT code that was being denied. This was radiation therapy with x-ray guidance. The x-ray guidance was denied. I had checked with Medicare directly and in addition to the radiation therapy, x-ray guidance is also covered. I understood that Advantage plans cannot deny a Medicare covered service. After being connected and transferred to five different departments, each offered to read the letter to me that I had in front of me. No one had access to any code or specific reason for denial. Aetna farms out the approval/denials to a service called Evicor. After two phone transfers through Evicor, still being read the letter that I had in front of me, I was transferred back to customer service. Rinse and repeat.

So my "covered" annual physical cost me ... $7.80 for a thyroid check. $13.05 for a b12 check, which was insanely low, so thank goodness it was done despite Aetna saying it was not necessary or important despite my inability to get off the couch. $1.93 to have my cholesterol checked despite it being off the chart previously. $25.39 for a "general health panel" - no idea? So when you are choosing a health plan, and think aetna covers annual checkups - they do not.

I honestly hope that the pencil pusher that denied me pain meds gets a gaping wound that has to be packed everyday and has to do it without any pain relief. Then they will understand the pain they have required me to deal with on a daily basis. Oh, and by the way, think of me while you cry in pain.

Worse insurance in the world OTC only buy thing in CVS or on a catalogs. Eyesglass don't cover only 35% meaning for the eye exam for a simple plastic bifocal wasn't covered, had to pay $249. Why the hell you need this insurance for. I wouldn't suggest this insurance even to my worse enemy. Very, very poor disgraceful insurance.

Updated on 03/19/2025: Update, called back and asked for a Supervisor or Manager, this is an 84 year old woman who thinks the provider will stop seeing her because Aetna is not paying her claims. The provider has a heart and conscious, unlike Aetna. I asked the CS Rep to connect me with a Supervisor, I had to give all the information AGAIN, this is my 4th call today. She told me there is protocol and she would send al the information to the Supervisor (I believe she said) queue and if they accepted the information they would talk to me. REALLY?!?!?! I sat on hold, tried to get the rep back on the line, after 19 minutes I hung up. I filed a formal complaint with CMS

The worst insurance ever. I didn't get the hidden health screening at work because I wasn't scheduled for work that day. I'm not driving 30. minutes on my off day to get blood take when I have had to hospital visits with blood work drawn twice and way more than they do at screenings for work, that goes straight to insurance in January two visits they could've accepted that as my hidden health screening. I'm surprised there aren't more lawsuits with this company. They are stealing money from our paychecks over bull crap. I will never ever ever use this insurance again. This company is like the mob and fraudulent.

A few weeks ago, I injured my back while exercising. The doctor (orthopedist) decided to do x-rays, prescribed several anti-inflammatory medications, and gave me two cortisone injections. When he saw that I wasn't getting better, he ordered an MRI. AETNA insurance didn't approve it because their policy requires me to do several weeks of physical therapy first. The doctor, using common sense, didn't want to start therapy without knowing what I had. The doctor even had a video conference to convince them, but he couldn't get it. I think it's pretty cruel on the insurance company's part. I even called asking for help with the MRI, but I couldn't get it either.

If I could give it less than one, Aetna CVS is the absolute worst insurer ever. How do you put people on medication’s for years and then try to hike the prices up thousand percent on a monthly basis or take them away from a person. Shame on you, Aetna CVS. You’re a horrible, horrible company and I will tell anybody I speak to. That’s how I feel shame.

Unfortunately we have Aetna Insurance! Another healthcare company that only cares about profit! My PCP prescribed ** for my type 2 diabetes. This was denied as I was not sick enough according to their guidelines. He then prescribed ** which was again denied as I was not sick enough. My Dr said there is nothing else that will work and even after I called Aetna I do not have any meds. So once I get sicker I should qualify or after a hospitalization which will cost them more money! No wonder the public loathe these big healthcare companies. Start caring about your customers rather than your shareholders!

Aetna is a joke! And when you need help, you get transferred over to a call center in the Philippians who are only concerned about their next paycheck and they will just make stuff up sometimes. When you try to chat with Aetna online, it is even worse. The website is not organized and when getting instructions from an email on how to navigate to a specific location, it is all wrong. Totally spinning wheels. Never, ever again will we choose Aetna.

AETNA case # ** about claim # **. This is a sample story that has to be known by Aetna members. On 11/19/2024, I submitted a claim for $2,000 for two PRP procedures performed by Emory Sports Medicine Center with a preauthorization submitted in advance for which I paid the amount upfront. Same procedures were performed on 4/30/2024 and 5//7/2024 and reimbursed for $1,900 by Aetna to me on 10/15/2024. The new claim submitted on 11/19/2024 was denied because Aetna claimed that Emory had billed Aetna and because their agreement with Emory was reimbursed for $260.57 to Emory and I should be reimbursed the full amount of $2,000 by Emory. Emory denied have ever billed Aetna, because they don’t bill insurance companies for such procedures. Aetna lied with the hope that I will give up or revert to Emory. Besides Emory never received such payment.

I was compelled by the USPS to enroll in Medicare effective 01-01-2025. I choose Aetna Medicare Advantage during open Season using Code HLF. The site stated I had to login to aetnaretireehealth.com/PSHBP. I logged in on 11-24-2024 and entered my Medicare information. I got a Confirmation Number 101026660-6200398, so I thought I had completed my enrollment at that time. I called Aetna in January to inquire when the 100-dollar credit would be applied. The Aetna employee stated that Aetna didn’t pay that credit that Medicare would give me credit. At that time, she did not inform me that I was not enrolled.

Very deceptive billing rules. Be aware that copays ONLY apply if nothing happens at the office visit. If they do anything, i.e. administer a bandaid etc.. The entire visit reverts to co-insurance and you pay 40% until the deductible is met.

Please look at other carriers, Aetna is not accepted anywhere I call for the only need I have and no providers. It took a few months to figure out this is pretty much a policy I can't even use for what I need. Check around more, I wish I had.

I’m a multi-handicapped 69-year-old senior. Aetna has NOT provided me with a doctor yet as of 3/12/2025 yet they are denying me medication I need to breathe without a doctor’s approval or permission. That’s illegal in any state. Now I need to hire a lawyer. Something I shouldn’t have to worry about and now Aetna has made it impossible. Whenever I call they pass the buck, sending me to one area to another and the phone goes dead. My anxiety from being in chronic pain is worse and Aetna is incompetent to handle and understand preexisting conditions. This is unacceptable & illegal behavior to deny medication without a doctor’s approval for any insurance company. DO NOT GET AETNA, THEY LIE AND DO NOT HELP YOU. They have existing issues with discrimination already.

Horrible experience!! 1 hr. on the phone to speak to a human being (Probably an underpaid phone mill in Bangladesh). My coverage monthly payment was increased from $ 9 to $ 348 x month!!! No explanation. Talking to the operator was frustrating.

I’m not sure why the deductible is so high and many preventative tests aren’t covered? Also, if I submit a claim to my insurance, that cost shouldn’t be higher than just paying for the test out-of-pocket…. Aetna Innovation Health only allows you to use Inova doctors/dentists so I had to find all new doctors because none recovered. This is such a waste.

If I could give this company a zero I would. They overcharge you and do not provide consistent billing even with the same Federal tax ID and same NPI # on the claim. I have been put on hold for an hour then they come back and say they cannot hear me. They are also refusing to cover preventive care claim. I have been on numerous calls with the company to get this resolved, I have had them talk to by providers and they still do nothing.

For profit insurance needs to stop I'm pretty sure I saved money getting the MRI you knew you were going to deny that I needed to move forward with my treatment. I don't wish anything good on you people from the CEO to the janitor. I was damn near crippled and have suffered nerve damage because you look at us as paychecks instead of patients. I hope you all go bankrupt and burn in hell. The amount of unnecessary pain I went through is ridiculous!

We are told that if you have insurance, it helps prepare you for the worst. While the actual worst is watching insurance companies that is supposed to do what it said it would do deny you treatment and look for every possible way to deny you care. I pay the highest premium “Gold member”, I work overtime to afford this every month. Up until the time I needed It, Banner Aetna is telling me that I have a waiting period. I feel really defeated.

Antibiotic cream only last 8 days, not 15 days like doctor expected. Doctor realized the shortage mistake and send in 2 more prescriptions to make up the shortage. Aetna refuse to cover it for 4 days.

This is the absolute worst insurance I have ever had. I pay so much to this insurance and only see one doctor regularly. The only thing I have a migraines. They don’t cover any migraine medication. Want me to get Botox at 27 years old. Which is absolutely not going to happen. I don’t get many medications. All I do is fight with them to get the meds that work for me. They still won’t approve anything. This health insurance is a waste. They take your money only to not do anything for you. Don’t waste your time trying to get this insurance. They steal your money.

I pay $800 per month for health insurance. Then I have to pay $3,300 deductible!!?? Who came up with this? I go to an ER visit and was there for around 4 hours and came out with an $11000 bill. I stopped going to doctors now. Thanks a lot!

Absolutely ridiculous company. The deductibles and out of pocket cost are insane. The constant jumping through hoops to get surgeries and medication approved is the absolute worst. I am a cancer patient and have to jump through hoops to get my cancer prevention meds, surgeries. MRI’s, mammograms, ultra sounds approved and still had a high out of pocket cost that no one needs. Had to switch pharmacy otherwise pay a penalty cost for my meds because of Express scripts they teamed up with. What am I paying every paycheck for if you are not willing to cover my needs?

Do not choose Aetna if you have any type of health problems. My wife and I have had over 50% of our authorizations denied. Even for standard medicines and procedures. Their customer service lines are a joke, yes they are friendly but they can’t do anything and just tell you they are sorry. They are happy to deny, delay and dispose.

There is currently no coverage for the latest technology hearing aids. My understanding from their representative is that they do not actually pay anything towards the purchase of hearing aids. Instead they contract with a company, Nations Hearing, to sell their customers hearing aids at a discount. According to the audiologist that Nations referred me to, the latest technology hearing aids are the Sphere model by Phonak. They also have excellent on-line ratings. They have superior technology to greatly reduce back-ground noise which seems to be the biggest problem that hearing aid wearers experience. Back-ground noise has made my speech recognition actually worse when wearing my current hearing aids than without them. Nations does carry older technology hearing aids from Phonak but not the Sphere model. Why not carry this model also??

Although we were a paid customer, Aetna had a glitch in their system that put thousands of Florida customers as inactive in the system, although we were all active and paid. Therefore, although I paid in full, I was unable to go see the doctor as all the websites and systems, even Aetna's system showed me as inactive, even though I was active. Aetna promised to correct the problem in 24-48 hours, but it took days and by then it was too late, my doctor wouldn't see me, and I had to reschedule my appointment for two months later, when I had already waited three months for this initial appointment.

Very happy with Aetna until 2025. They cut our benefits raised co-pays. I can live with that. Until today I received a FedEx package with a cup blanket crossword puzzle lotion and slippers!!!! Really? How much did that cost? Save it and give better benefits!!! Nothing is free!

Disgusting excuse for health insurance. I take one prescription medication, that I’ve been on for years, and switching to Aetna (because my employer switched) they are only willing to cover 15 days out of a 30 day prescription. Why bother having health insurance, it is cheaper to fill the prescription with coupon code.

Some pretty bad ones out there but this one takes the cake. Walk away. Do not purchase. Paid 900 a month and also paid the agent to set up the insurance. Pretty sure it was a scam because I am getting claims sent to me from over a year ago saying this is not a real number or the insurance info is false.

I got Aetna/CVS insurance 2 years ago and my health and treatment has gone way downhill. I haven’t even been able to get ANY preventative care at all. They keep denying it. I’ve looked up what I can do and I’m going to be contacting all the agencies and filing reports and complaints. I’m also going to contact the health marketplace and see if they will allow me to switch, based off of the fact that this insurance isn’t healthcare. For me it’s been UNhealthCare. They want me sick and all the calls and getting approval only to be called say of saying your insurance has denied your preventative care.

Terrible company with no integrity. I am diabetic and have sleep apnea, I have been on ** for years. My previous healthcare insurance provider, UnitedHealth Care quickly approved the prior authorization for this medication. Now that I have a new job, I also have new healthcare insurance. Aetna denied my prior authorization. They completely disregarded my medical history. Truly a disgusting company.

Avoid this company, customer service is a joke. No help in finding a primary doctor. Or a nursing help. The ride service sucks. I'm still waiting for a E-mail with a list of doctors. They are a rip-off.

Aetna won't approve the medication that our daughter's doctor prescribed for her even though it's the only one that works for her. My daughter has been on ADHD medication for the past 2 year and it was working for her. Yes, we still have to teach her appropriate behavior but the medication was working and helping her. My husband's company switched insurance because of how many complaints they were getting with the old insurance so they got Aetna instead. And yes, the former insurance company was difficult to deal with but they approved the doctors prescribed medications and treatments. Aetna immediately denied her medication because of costs. Told us to try cheaper ones and if they didn't work then they would cover the original medication with the doctors prior approval. Why does the doctor have to send in a prior approval when he's the one that prescribed it in the first place!? This makes no sense to me.

This has been a tedious - migraine producing process. I just want to add my child after coverage was dropped by the other parent. I needed to add the child after open enrollment and it has been a nightmare. They will direct you to a website to upload documents. It’s useless. The uploading process does not work. I’ve made about 20 attempts to get it done. The one time it worked, only half the documents got processed and I could never get the other one uploaded. I was instructed to fax my child’s birth certificate….. then call back in 2 days to see if it was received???? I called back in 3 days and was told I was to wait 3-5 days because it wasn’t verified yet. It’s ridiculous to have to send sensitive information this way and I can’t even get confirmation that the correct person received it. Terrible process.

Worst. They cancelled my insurance because of so-called non payment but they did not take payments at all from my bank account which is an auto-pay by the way. And then after, told my provider that my insurance’s still active then afterwards bill me $500 because of the so-called non-payment of the insurance.

I had Silverscript Plan D Prescription coverage for a long time at around $7.95/mo. Last year, they raised me to $15.70/mo. This year by accident today, I noticed a charge for $50.70/mo. They claim they mailed me a letter in September. Well, I never received it. It's common knowledge that the Post Office is unreliable. If Aetna really wanted their customers to be informed, they will email and/or test. Aetna has that information. So, it appears that Aetna (who now owns Silverscript scammed me out of $600 this year.) I take no drugs, only occasional antibiotics for colds, etc. Last year, I spent a total of $256.22.

Pre-authorizations for care have been repeatedly denied. My doctor was waiting on the peer to peer review call. I have severe herniated discs in my back. The insurance company never called during their scheduled times twice. It's actually been rescheduled for today. HOWEVER, Aetna contacted the hospital, told her the peer-to-peer was done and they denied it. LIES!!! The doctor has never spoken to them. This caused me more pain on top of the pain I am already in! I have to make arrangements at work, home and my doctors to make sure that I get help after surgery. And you wonder why people hate insurance companies?!!

I hardly ever use the service, I am 72 years old and Aetna increased my prémium each month from $18 to $55 with no reason. I only use cholesterol medicine once every 3 months. Need help. They feel I am stupid because of my age! It is not fair

Never have a procedure done without having them run a pre-authorization first, regardless of whether or not they say it's required, ESPECIALLY if you have one of their plans through the marketplace (**). There is major misrepresentation on the marketplace website for in-network providers and no one wants to take responsibility for the error, leaving my family with a $10K+ facility bill for a 20 minute procedure. The hospital we went to (Nationwide Children's Hospital) customer service reps have said this is happening to many families. It is truly unacceptable.

I have been trying to get a list of in network providers for days. Sr. Application Support Analyst Meg B. has been working with me and she's been absolutely awful. It's been two days and I still nothing.

Pharmacy services are a joke. They will deny and put every single medication a doctor recommends through a painfully complicated prior authorization and appeal process. If you had a medication that was proven to work from a previous plan and switch to Aetna, kiss that medicine goodbye. THE DO NOT CARE ABOUT THEIR CUSTOMERS AT ALL.

People beware. Do not purchase AETNA supplemental insurance. They take your money and then refuse to pay. I went into the hospital for 4 days and they refused to pay me for hospital indemnity. I spoke with several of their agents but got nothing. They put all of my claims under LCS (a company I no longer work for) instead of Adventhealth (the company that I work for) and they denied all of my claims. They know that I work for Adventhealth because I made them aware by giving them my insurance number but they still refuse to pay me. I guess I’ll have to get an attorney and sue them for the money owed to me. I will NEVER take out insurance with AETNA again and I will definitely be warning everyone I know about this and putting it on all social media websites.

Just going to say their customer service could use some much needed help!!! Aetna=Denied. I had Humana for 8 years and never had one claim or pre-authorization denied. I'm tired of seeing the word denied?!!!

I've had Aetna for a little over a month. I cannot wait until October to go with someone else. I feel like my $180 a month is just going into their pockets. Their formulary was bait and switch, the benefits changed after I signed up and keeps changing every time they tell me what medicine is covered, then they change it again. I have been waiting on approval for an MRI for 6 weeks now. STILL not approved. Their CVS card got inactivated 3 times before I could use it, (had to keep reactivating). Run, don't walk if this company is suggested.

Customer service are world's worst. Never follow thru. Now have no secondary insurance due to their lack of competency and professionalism. I would never sign up with them and would highly recommend no one else to do it either.

Aetna has thrice denied legitimate claims and its customer representatives cannot explain why. I submitted a dental claim using their online form since my dentist is this year out of network. They denied it saying they needed more information, but during several calls by me and my provider the customer representatives were unable to tell us what extra information was needed. With the provider's help I refiled the claim with the information the provider normally provided dental insurance--an x-ray of the problem tooth and surrounding area and a narrative describing the problem.

My experience has been extremely high premiums and little or no coverage. Worst health insurance company I have ever worked with. I would put Aetna in the same category as predatory payday loan companies. Very questionable business practices. The prices quoted online do not match what you are actually charged. They sent a letter dated 1/15/25 retroactively removing my primary care physician from in network. I've been consistently charged $300+ for routine office visits, and recently charged over $600 for a tele doc appointment. For most insurers these would be copays.

How could they give you a runaround and never approved Dexcom receiver. The sugar is a 552. Aetna stating that is not needed. Never approved. I’m changing plan. The doctor requested the Dexcom. The insurance approves the sensor without approving the receiver. And I’m new in this.

The worst so call health insurance company I've ever encountered. They enrolled me for 2 weeks in January and then at the end of the month dropped my enrollment without a reason. I am extremely unhappy with them and will never refer them to anybody.

I have been on the phone with Aetna for 12 hours over 2.5 days. I’m on hold with them right now. They don’t have a clue from one agent to the next. They claim they don’t have my information but some agents are good and can find it in minutes while 85% of their agents are incapable of anything other than transferring you to another agent. You can only communicate paperwork by fax number. They have no email capability. Medicare does not fax so you can’t get your Medicare information to them directly. This is the most ridiculous operation I have ever encountered in my 65 years. Even supervisors drop the ball. I am contacting the Better Business Bureau when this is done because after all this time on the phone over (so far) three days. Someone is going to be held accountable. I recommend everyone who is treated wrong should contact the better business bureau immediately. I will write more reviews before this is over.

The worst insurance ever. Highly do not recommend not even to a dead person. I paid for a month but my insurance was inactive the whole month after I been calling them multiple times through January. Now February bill is here. Now they refuse to help me at all. Wants me to pay February bill and pretty much forget my money. I paid but wasn't able to use during that month of January. Worst insurance company ever. Once I'm out of this I will never work with them again. Customer service Judy and Patrick was rude and offered no help. If I could give 0 stars I would.

At this moment I am still waiting for my cancer med that has been denied once now by Aetna, I'm all out of cancer meds :( My oncologist wants me to take this med, but I guess aetna does not at 15k per 1 month supply, aetna also denied my radiation multiple times before approving, so delays in therapy and disease progression is what you get here.

Aetna CVS sucks, you need referral after referral after referral even to the same doctor for follow up appointments. The support line is absolutely useless. You get stuck in the endless loop constantly, HMOs are horrible, choose a PPO if possible.

They're the worst insurance I've ever had. They delay approval for you until you get fed up and cancel, then let you do your work by contacting the doctor's office and the service providers. I don't recommend them to anyone.

I am writing to express my deep concern and disappointment regarding the recent denial of coverage for my father's medical visits and treatments under his health insurance policy Aetna. He has consistently paid his premiums each month, believing that he would be supported during his time of need. However, we were devastated to learn that his coverage has been denied, particularly at such a critical time when he has met his deductible and has scheduled chemotherapy treatments. This situation feels not only unjust but also profoundly distressing for him and the family.

Changing to Aetna Medicare was the WORST decision ever. Their customer service is truly awful. Getting referrals has required multiple calls with their service team where I consistently get agents who speak English as a second language. They point fingers and come up with a new excuse every time I call. You can do better. Avoid Aetna

They just hang up on you without resolving the issue and are very slow transferring you and that’s even if they know where to transfer you. I'm very dissatisfied and I’ve only had this insurance 3 weeks.

I am beyond frustrated with Aetna Life Insurance Company. Their autopay system failed in October 2024, resulting in the termination of my coverage. Despite this, I continued receiving bills for coverage that didn’t exist. I reached out to Aetna multiple times, and each time I was told conflicting information. Their customer service representatives assured me that everything was fine, only to later receive a notice that my coverage had ended on October 31, 2024, due to non-payment—a result of their own autopay failure.

If I could give zero stars, I would. Their website payment portal has been down for weeks, making it impossible to pay bills. My account was charged over $450 incorrectly. While they eventually fixed it, they never explained what went wrong on their end. To make matters worse, because of their broken system, I couldn’t make payments, and my account was marked delinquent.

Total bait and switch company. Stay away from Aetna. My wife and I were paying $3.50 per month for Prescription coverage (which we don't need) but is required for Medicare. This month our monthly premium went from $3.50 a month to $35 a month. This is a $760 increase, about 1000% increase in price. Now that Aetna locked us in for a year, in January, they gave us the price increase. Totally immoral and unethical company.

This health insurance company is an absolute joke.. it’s the worst insurance I have ever had in my life. They charge a ton and cover nothing. They have denied coverage for every one my drug prescriptions prescribed by my doctor. Appeal process for the denials is a joke. Unprofessional and clueless customer care representatives that you wait hours to talk to when you call. That’s if they don’t just put you on hold and hang up. It’s all about the $$$$. The CEO’s should be in jail and I hope one day they are held accountable. Denying people necessary medical and prescription coverage is murder.

--> I have been waiting almost two weeks for approval on an antibiotic for lung maintenance. I am pretty sure I have pneumonia. I am having difficult breathing and I'm coughing up green stuff, that is infection. It didn't have to come to this. I am almost 80 years old and high risk for dying. I can't believe you people and so sorry I came back. I hope and pray Trump eliminates companies like this, you're just middle men costing the state twice as much by stalling tactics when people are trying to get meds. This formulary system is not right. My Dr. know more than you people re; my health and what I need. I am contacting someone from the government re: this matter to try and get help, I am very sick. I told my kids re; this matter so if something happens to me they know what to do. This is not right.

Aetna refused to fill my prescriptions. Walgreens filled my prescriptions same day. I spoke with several Aetna individuals that claimed they were supervisors were of absolutely no help to me! I do not recommend this health insurance company. After this year is up I will switch to a more reliable insurance company. Today is January 13, 2025 and am already having major issues with this health insurance company. Even though I provided these people with every ounce of information you can fathom. They still refused to fill my prescriptions. No reason given. Unacceptable behavior!!

Change my insurance to Aetna back in October. Never receive the over-the-counter food card that was supposed to be sent out December. The 12th still haven't gotten it. Keep getting the run around and live saying it'll be here the next week or the next week and the next week still not here. End up going into the hospital. ER.

Aetna sent out one notice that they were discontinuing the prescription drug we were enrolled in last August. I did not get the notice and they changed my enrollment to a different plan. It increased my monthly payment by 673%. I will never use them again.

Aetna is good but you will wait forever for your benefits card. I been waiting a while and Every time I call I got a new wait date. They will send everything but that one time you will get mail from them everyday and I'M NO BENEFIT CARD. IT'S NOT Good WITH THAT PART AT ALL.

I was dealing with a severe septic wound, and Aetna truly had my back. I spent a month in the hospital, then rehab and the covered it all. I could not ask for a better insurer. I am also please with their over the counter services.

I thought I would try this Health Insurance one more time and once again It is the worst. All I did was spend monthly to my for my health insurance and pay my co-pay then pay for my visits because I never met my copay. Why did I need this Health Insurance for...just so they can get rich off of us. The Barack Obama Health Insurances get rich scheme for the CEOs! I hated this Insurance. If I was sick or tore my ligaments in my knee I would just suck it up because I could not afford my copay. That's how trashy this Insurance is. Don't waste your monies making this Health Insurance CEO get rich. I went back to BCBS which cost me more but I have Zero Copay! I can get healthy again without losing my home!

Until a few days ago I would have given Aetna 5 stars but it went from 5 to 1. I went to a doctor's appointment and found out that my health insurance was inactive. Not thinking anything except there was a mistake I called them just to find out they had pulled out of my area after 5 years of being with them. They said they had sent me a letter however I haven't seen it. It was all my fault according to them. Very rude but was willing to sell me another policy of course. When I mentioned I felt as if they should have contacted me they said they did via mail. I asked why hadn't they called or even sent me an email. I was told they don't do that. They have called many times and emailed me on other subjects and I brought that up. That's really when the rudeness got worse. I should have read the letter is what they told me.

They denied to pay for blood work after I hit my deductible. Their excuse was that the testing ordered by the doctor was “experimental”. Testing ordered to diagnose me for IVF treatment. I am still fighting with this company.

Last October I was diagnosed with a meniscus tear on me left knee. My doctor prescribe arthroscopic surgery to repair it. The initial request was denied. They cited that the MRI shows signs of arthritis and would not authorize surgery unless I completed 12 weeks of Physical Therapy. Now bear in mind that I had my other knee done a little over a year ago. The MRI showed signs of arthritis on that knee as well and the arthroscopic surgery was approved without any issues.

We had Aetna for 2 years. I am not happy with them as they said a letter was mailed out to us saying our plan was being discontinued in 2025. Neither my husband or myself got it. They trusted the mail service to deliver it as USPS is having problems with stolen mail. They did not email, text or call us. We were trying to schedule an appt and was told we had no plan. We had to find another company(Cigna). But it doesn't start till Feb so all appointments had to be cancelled. This isn't the first time they messed us up. They tried to deny coverage on a CT scan after they approved it. I finally got it approved after filing a complaint. That would have cost us 4000 dollars. I would not recommend Aetna Medicare Advantage

I chose Aetna Advantage Medicare because they covered my prescriptions, had more reasonable co-pays and all my health care professionals and companies were on their plan. After the enrollment period ended, Aetna removed coverage of entire Networks. Now my doctors, hospital, etc. are no longer in network. I receive no notification that this was a possibility or notification when it happened. I caught a flash on the news or I still would not know. Once you turn 65 you have no option but Medicare. And companies like Aetna are making Medicare worse. Under 65 and you can go to Obama care and get insured for very little money. Medicare you pay $170 to $600 a month for insurance not of your choice that you thought you were paying for all those years you worked!

Health coverage has been good so far. For 2025 there's been a lot of increases. Customer service is mainly the worst. They got a bunch of people that have no knowledge of what they're talking about and they hang you up on the phone for long periods of time and still can't figure out the proper answer.

I am state of Florida employee. Never had an issue with Avmed. Very dissatisfied and disappointed and disgusted with Aetna. Worst insurance ever. I wish we come back with Avmed. They want to charge for something as simple as lab test. They said they will return the money. I don’t think so. Unbelievable.

Not satisfied with Aetna whatsoever. Unfortunately my employer uses them. Recently went to an in network rehab facility. Was told my bill would be the $5,500 max out of pocket. Now Aetna refuses to cover much more and not covering over 8,00p dollars worth. I'll be contacting my state attorney general's office.

I had to switch insurance providers as of 2025. My medication and treatments are to keep me alive. Aetna refuses to cover the costs of anything till I reach an unrealistic deductible that is worth more than the treatment plan is yearly. So basically they will gladly take my money. But not offer the service I am paying for. Idk how this is legal in any way. Last time I checked that would be considered fraud for refusing to render services till I make an unrealistic expectation to have a service I pay for. Why do I even pay them if they refuse to help me. These people are proud of the fact they are killing. And really don't care in the least bit.

Aetna PPO Signature Plan is awful. One department does not know what the other departments do. They do not take or share notes. They took away my Extra Savings for Low Income. I am 64 and live off SSI Disability. So, now in spite of the $185 that automatically deducted from my payment. They no longer offer Rideshare or a Monthly Food Allowance. I'm screwed and I can not get anyone to listen. They just transfer me from one department to another. AETNA shorted me $30 on my October Food Card. And it has still not been rectified and no one cares. They will give you a case number, but they never follow-up via phone or email.

I just found out that even though my Aetna plan is a PPO, I cannot get dentures because there are no providers anywhere in network. I will have to pay half of the bill because it’s out of network even though they did not have a provider. That’s like writing me a check on a bank that doesn’t exist!!

I've been taken hostage by Aetna prescription drug plan Part D 2025. I had Aetna Part D plan $9.90/mo in 2024. I receive regular communication from Aetna by post every month and always open and read my mail. I was NOT informed by post, email, or otherwise that the 2025 premium increased to $44.90 I did, however; receive a shocking bill- AFTER the open enrollment period. In multiple calls to Aetna, the specialists failed to accept any responsibility for their lack of communication during open enrollment and failed to acknowledge that I do not meet eligibility criteria for SEP as they continually tried to pass me off to the SEP dept again and again, dismissing me with no regard. I am bound to pay until next open enrollment. I will never choose aetna for anything again. Never. Medicare recommends Wellcare. I look forward to moving my business to WellCare in October.

So I have Aetna CVS Health Insurance. I needed some medication that needed to be prescribed by a specialist. I filled out a form online, then had a representative call me to ask how he could help. I explained what I had done online and what I was looking for. He said he would send me a list of providers to call. I told him I needed the medication sooner than two weeks, could he help me with that. Next thing I know I get a link for a telehealth visit. So I'm thinking the first guy has helped me. Nope, I'm talking with someone else that tells me a need to make an appointment with a specialist. Now I'm being billed for an inconvenience of my time. And this is the best line of 2024. "Is there anything else I can help you with?" No thank you.

Avoid!!!! By far the worst insurance company I've ever dealt with. By far the worst company I've ever dealt with of any kind. They are disgusting, greedy, incompetent, poorly trained, compulsive liars. Hold times are extremely long.

Expect to call - at a minimum - 8 to 10 times with each call increasing in frustration on your side and incompetence on theirs. I have given up chasing a claim from a 2 years ago and will now change insurers. These people are at the verge of operating illegally. If you don’t want to develop a mental illness due to sheer stress of dealing with Aetna please stay away. I can NOT warn people strongly enough. This company may well be a very poorly run scam that doesn’t deserve an insurance license. And shame on the CA govt for letting them operate.

I am actually on a higher end plan. They aggressively do not cover anything that they are legally required to. There is no good coverage for wellness, nor is there an appeal process and recently they started rejecting all prescription claims from any pharmacy other than cvs, then on top of that they won’t honor that unless it is being filed as 3 month prescriptions. Goodrx, or a savings account is more useful than this trash can of an insurance company. This is with an overpriced higher end plan.

Can only use CVS Pharmacy for OTC spending. There is not one within 100 miles of me. Not one optometrist in 4 counties will accept Aetna. No customer service at all. I went through boomer benefits and was told many untruths. I guess I will pay for exams out of pocket and use Zenni Optical or other online store

Aetna had called me 2 different times trying to enroll me. I declined both times and all the sudden I have mail with a ID card. Some Representative enrolled me for a pay check and now I can't get my medication I need to stay alive for adrenal failure & Hypogonadism. This is a mess and no one at the call center I've called about 15 times now can cancel thus Fraudulent enrollment I didn't do. Now my medicine cost money. My Medicaid was covering my medicine 100 percent. Why would I choose to pay for medicine that my disability covers since 2012. Stay away from Aetna.

Keep in mind. Aetna decides when they will allow you to fill your prescriptions. Based their time frame. My script was $18, and they would'nt cover it because it's outside their time frame to be covered. Why pay $300 for insurance every month, for them to decide if and when they'll cover anything! Worthless Scam Insurance!!!

I'm VERY DISAPPOINTED THAT MY OTC BENEFIT IS BEING DECREASED FROM $150. EVERY THREE MONTHS to $60. This benefit really helped me. I'm on a fixed income and think it's very unfair to take such a HELPFUL benefit just saying with things are at a all time high it really HURTS.

I hate doing reviews but after my third letter from EviCore Healthcare which is a third party that is hired by Aetna/Banner to review services or procedures that your doctor (PA) and you are doing, I had to express my thoughts. So why don’t we just go and see the insurance deniers upfront as our PA does not count. It is a waste of my time. I was scared to use Aetna/Banner as the Banner network almost killed my brother twice. But I tried hoping that it would be different. It is not. If you have other choices, please try another insurance carrier or health network. Here are my issues.

They give you a big long list of dermatologists that don't take their insurance causing your mental disabilities to go out of whack. I have spent over 7 hours looking for a dermatologist. I would probably go to the emergency room but I didn't eat today.

Once I was a great fan of Aetna's. However, this year they failed miserably. I spoke with a representative BEFORE "open enrollment" ended who assured me I was good to go for year 2025 with my current plan still intact. Then, 4 days after "open enrollment" ended, I received an email notifying me that my plan HAD changed by going up $48.70 per month AND it was also getting a $590 per year deductible. Being as how I'm on limited income, that'll add another $1200+/- to an already stretched bank account. Not to mention they waited until AFTER "open enrollment" ended before saying anything. GoodRX, here I come back....

I couldn't get my supplemental food card for almost 2 months. So, I supposed to receive in October, but I've had it at the end of November. I was calling 1 times and spoke to different people who promised me to toll over my $45 for October, because I couldn't use it in October. Still calling ND trying to get my 45 dollars back.

Have had positive experience with this company compared to others. But why can't we have insurance pay for preventive measures instead of letting people flounder unsure of the proper way to eat and exercise to prevent chronic disease in the first place. Why are we as a society letting everyone become sick and then become a forever patient with constant appointments, expensive specialists and "needing" medications costing ridiculous prices such as $1,000 per person per month, etc. It looks like it is more profitable for insurance in the long term to make and keep people sick. They want everyone on ** now? No, I don't think so. A proper diet and lifestyle will fix these problems people have.

It's bad, we paid over $400 a month and get nothing for it, $4,800 a year for nothing, a scam company. We would never recommend to anyone, it's better to talk to the hospital directly about payment or locally talking to a charity for help.

I recently had a medical procedure performed. I called Aetna customer service with the procedure code provided by the doctor’s office beforehand and the rep said that the contracted amount for the procedure is $674 after putting me on hold for over 10mts. Within a month, after the procedure is performed, doctor filed a claim for $2500+ for the same procedure code and Aetna asked that I pay $2000+ for the procedure as I have a HDHP. The second time I called and asked for an estimate for the same procedure code the reps says that it is $1800+. When I confronted him with the previous estimate he took another 10mts and confirmed that it is indeed $674 as the previous guy said. When I asked him to check the doctor’s claim, his explanation for about 3 times ($1500+) more than the estimate that I am asked to pay is that it is just an estimate.

I have been paying $1,000 a month for my health insurance through Aetna, combining both my employer’s contribution and my own. I was under the impression that preventative care services would be fully covered, as outlined in their policy. However, I have faced consistent issues with claims being denied, even for basic preventative services like annual physical checkups. Despite Aetna’s policy stating that preventative care is covered at 100%, they continue to make excuses and avoid paying for these services.

They will deny everything - I fought with them over an MRI for literally a year (which is written in my coverage) and they simply never covered the cost. They won't even approve basic prescriptions that were sent directly from my doctor. Doctor prescribes medication, Aetna says it needs doctor's approval for the medication. Absolute joke of a company. Completely immoral.

The coverage itself is good, but if you need anything updated or have questions, good luck. I have been trying to update my children's PCP for two weeks now. I called 11-20-2024 to get this started. I was told 24-48 hours for the update to show on my online ID cards. A week goes by and they are not updated so i called again. Again, I was told 24-48 hours. This past Monday, 12-1-24 I called again. I was told they were updated so I requested a copy of the updated cards to be emailed since the website still showed no update and got hung up on.

I cannot fault the Aetna Medicare Advantage plan benefits. I have no complaint there. If you have a question or a problem however their customer service is a nightmare. You will get a representative from a country that is definitely not the US. You will be blessed if you can understand a word the representative says. The representative will not actually know what they are doing and you will receive conflicting, contradictory answers. If you ask for a supervisor if you get one, you will not understand that person either. The process will be like having surgery without anesthesia. You will end the call without being helped and will want to scream.

Aetna deserves 0 stars. My mom’s doctor signed for Hospice for my mom. We waited for a week. We received a call from one agency stating they did not accept our insurance. My mom died without hospice. The last days without professional help at home were excruciating. It was difficult and felt like my mother was being stripped of her dignity.

I called to get general information. Melissa answered and was pleasant at first. I was calling to compare plans being though its open season, to compare plans. Apparently you can’t get any information if you’re not a member. I was on the phone for 17 during work hours, to get the same information I googled online. Now I see why Aetna has little to no stars. I could imagine the health coverage and benefits & what it offers. I received no help. I am very disappointed.

Just so bad. So so so bad. The customer service has no idea what they are doing. I am told different things everytime I call. I would suggest going with any other insurance provider - I know it’s being the least of evils, but I promise Aetna is by far the worst.

When I retired in ‘22 I had reached my out-of-pocket with my employer's Aetna insurance plan so I went on cobra. Right after I retired I had some heart problems and had to spend some time in the hospital and some other care. Aetna paid as agreed, but then six months after that they took it all back and claimed that I could’ve had Medicare part B and even though I didn’t they were allowed to pretend I did and only pay small amount amounts of co-pays the Part B wouldn’t have covered. I paid out $1000 a month to pay a few co-pays adding up to a couple hundred dollars and I ended up with huge charges in the thousands of dollars that I had to pay.

I would love to be able to get my breathing meds without going to the emergency room, I find having to go to the emergency room for breathing medicine incredibly annoying l. I don't think anyone should have to beg to breathe. Every time I go to the pharmacy to pick up my breathing medicine I am told my insurance won't allow me to have it and I end up having to go to the emergency room just so I can breathe.

This is the worst insurance company I’ve ever dealt with. I have diabetes and have been denied twice for ** and **. I was on ** for one month and it got me so sick and caused me dizziness. Now I have no medication to take all thanks to this terrible insurance company for denying medication to people who actually needed it but yet I guarantee of people who want to get these medicines just for weight loss can get it right away. This company needs to be sued for everything they have and shut down. I am switching to another insurance company as soon as possible.

Hands down the worst insurance company on the market!!! I signed up for Aetna because my plan was going away. When I reviewed their offerings, it matched up with the plan I had. The list of doctors available to me was long, and the first 4 pages were all doctors within 30 minutes of me. Here is where I found they are fraudulent liars! NONE of the doctors near me are accepting new patients. I was able to get one of the offices to tell me they hadn't accepted new patients with my insurance for over a year. The closest doctors available are over an hour away. The singular urgent care is over an hour away!!

Absolutely the worst insurance ever. Glad my husbands work switched different insurances for this year. Last year December 2023 I called for an ambulance. I was 37 weeks pregnant & experiencing excruciating groin pain causing me to not be able to get off the ground. I called an ambulance to take me to the hospital. Received a bill in the mail for $948. Let it go because they were primary, and I had secondary state so I knew it would have been taken care of. I hit my family deductible for the year in May 2023. My member benefits states ambulances in or out of network are covered 100% once deductible is met.

This is the worst health insurance I have ever had. Not is junk, I no longer can see specific Doctors due to expense. Never ever did I have to pay for bloodwork. I do now. This company needs to be banned.

Aetna takes no accountability for their incorrect estimates of service causing financial surprises. Calling into their customer service is a waste of time as no employee you speak to is authorized to help in any way and promises of being transferred to a supervisor simply transfer you to another low level employee. Most recently, an employee told me they spoke to a supervisor on my half and instructed me what steps to take with my doctor for a pre-authorization. Upon calling a month later, because it was not taken care of, I was informed there is no record of my previous call. Their solution was for me to file a complaint, which you know will do nothing, and then, of course, I was transferred to another low level customer service rep that had no ability to help me.

If you need any customer service or support from this company you will not get it. The most unorganized and unprofessional customer service I have ever dealt with. They will put you on hold and nobody knows anything.

THE WORST CUSTOMER SERVICE IN HALF A CENTURY. They would have to work extremely hard TO BE THIS BAD!!! (Not work!) I’ve come to the conclusion that it HAS TO BE …. DELIBERATE. They must want to avoid signing up senior citizens to enroll in fitness programs that they then have to pay for and so they:

Miguel answered the line in a very short period of time. Knowing what you want to talk about will get you there quicker. Miguel was very knowledgeable, had my account on his screen and was giving me the info that Aetna needed to totally approve my surgery. MRI, lab work, PT access mentioned, etc. I told Miguel I was getting involved because physical therapy was not a subject I knew Aetna was looking for to finalize surgery. I still don't know if I'll be able to get my surgery but I can tell you Miguel did an excellent job of answering my questions and staying on point with me about what I did not understand! Thank you Miguel!

Aetna hasn't covered major visits they assured me they would cover. Once, during a phone call between my doctor's office and an Aetna representative, the Aetna rep hung up the phone right when we got to the meat of the problem. Funny how that works huh? I'm currently on a long hold waiting to figure out what the heck is going on. Simply put, I have no idea how this company hasn't been sued yet and I think it's time for a class action.

Aetna plays God with your care. They take the recommendations and suggestions of a board certified neurosurgeon and have decided that they know better. I have a second herniation and annular tear and even though I can’t walk or stand or use the restroom without extreme pain and they think I can wait six more weeks to go through physical therapy. PT that could make things worse. Six more weeks that are affecting my quality of life, my job etc. I’m bed ridden most days. I take so much pain meds just to be able to lay down. Rather than the last two weeks in a recliner. They’ve denied X-rays MRIs and prescriptions. Aetna would rather you suffer in pain and mental anguish. They’d be happier to quit paying all claims due to your death than to provide the care you need. It’s a game. I’ve told everyone if anything happens to me. It’s all on Aetna for causing extreme pain and suffering. Why am I paying such high premiums when I can’t get the care I deserve. I wouldn’t recommend Aetna to anyone.

Horrible experience! Never sent id card, never gave me anything about the insurance. Runaround on every phone number they give you, transfer, transfer, transfer. Corporate clowns & indifferent incompetence in every department.

Worse company ever. Was denied a heart stress test even though Er and pcp recommended. Now trying to say I don’t have a policy at all magically…. Would not recommend this company to anyone at all.

I wish I could rate then a ZERO. Over 6 years with Aetna Silver Script as my drug plan. They cancelled me with a $22.50 SURPLUS in my account for non-payment (I never missed a payment in 6 years). My automatic monthly payment posted Nov. 2. They had sent me a letter dated Oct. 31 with a Nov. 1 cancellation date. The letter arrived at my home Nov. 8. I was passed around 8 times in 2 1/2 hours with customer service. Everyone apologized, agreed it was their fault, said they'd fix it, then passed me on to the next guy. I had to reenroll with a new plan (that took half an hour) and was shocked when he told me my plan starts Dec.1 -- I would be without coverage for 22 days. More apologies.. Gee, I wonder which of the two competitors that are $1,000 a year cheaper after two rate increases from Aetna this year I should switch to next year?!?!

Overall my experience has been positive but have been having issues with getting preventative lab work for a physical processed properly. Customer service rep and her supervisor said bloodwork had to be done at Dr office or after the physical otherwise its considered diagnostic bloodwork which has a co-pay. Nope. Asked them to point out where in the policy it specifies that; needless to say they couldn't. After 4 calls, a rep said the diagnosis code needed to be different (had been using same code with BCBS for 20+ years with no issues) so lab is resubmitting and we are all hoping it may finally be processed correctly. Interestingly enough, for these calls they do not transfer me to complete a survey. Only when I call and are they able to resolve to my satisfaction do they transfer me to the survey.

I made the switch to Aetna thinking they were good, the person talked up a great storm and everything was going ok up until I needed spine surgery. This company covered all testing and when all test and MRIs came back showing I needed surgery they denied it. I got phone calls from them, saying they understand my condition and how I feel which is a load of crap because they don't. They have no idea how much pain I'm in and the nerves that are being pinched control my breathing. Doctor sent in an appeal and was told it is not considered Expedia so it will take longer for them to decide if they will ok it. I love it when no Doctors play Doctors and then have enough nerve to say they understand. I will be looking for a new issuance ASAP.

Aetna repeatedly called me (at least 5 times) to schedule an appointment with one of their doctors for a virtual check-up. In return they promised to reward me with $100 for my info and time. I was hesitant to participate because I feared that it would effect our rates for next year but in the end the $100 reward won me over. I had the appointment on September 30th. On October 14th I called and spent 27 minutes with a rep because I hadn't received the reward. I was assured that someone would reach out to me and that I would receive email confirmation of our conversation. Neither of those thing happened.

Aetna suck as an insurance company. I have had a lower back problem since 2000. And it has gotten worse over the years. I have had physical therapy, shots in the back. Chiropractor. Nothing has helped. I had one doctor tell me I need surgery so they put in for it and aetna denied it twice and said I need to have physical therapy so I go and they said they can not do anything for me. I need surgery. Then I get another opinion and new surgeon told me I need surgery and they put in for surgery and Aetna denied it again. I am going to cancel my insurance and go with someone else.

No one speaks English. I’ve been transferred and on hold now for about an hr after seeing my account emailed changed at 1 in the morning and couldn’t even get in confirmed because no one speaks English.

Aetna health insurance was a complete disaster. They refused to authorize a crucial procedure for my daughter and sent us to an unqualified practitioner who couldn’t perform it. We were stuck in an infuriating cycle with no progress. When we informed Aetna that the provider was unable to treat my daughter, they approved that same provider again instead of the one who could. Their incompetence and lack of concern for our well-being are utterly disgraceful. Avoid them at all costs!

Since much of Arizona is served by Banner, many are stuck with limited insurance options. My rates went up $1500 a year for 2025 and the coverage I get is of minimal benefit. I still pay out of pocket for most everything because the deductible is so high. I pay almost premiums of $1500 per month for two of us, plus almost all of my medical bills. Through 10 months, I've paid over $21,000 in premiums and medical bills not covered by Banner/Aetna. That number will be over $25,000 by the end of the year. I am retired on a fixed income. I'll be on the streets soon at this rate. The system is broken.

Do NOT get Aetna if you have Medicaid and Medicare. The OTC extra money does not go far, prices are extremely high, poor quality and takes 2 weeks to come. UHC goes thru Walmart and you can get it same day, and a lot more for your $

The problem I encountered with Aetna CVS health is with their: “concierge”. I do not care if these customer service reps are located in another country but at least, they need to select people who speak English and understand in order to communicate. Not only they don’t let you talk but they have a real bad English, I could barely understand what they say and I had to call many many times to obtain the changes I asked! The two First Ladies I had on the phone lied to me, they told me they had modified my PCP and sent me a new card with the change. It was not the case. I have called again and I found out that the new PCP I chose was not in the network, thing nobody told me before! The person I have talked to again today told me he was going to check if the new PCP we chose is going to be validated by Aetna. They made me waste two months while I have a lot of health issues which need to be solved.

Horrible insurance company, they will give you wrong coverage information, taking months to give an answer and turn around and keep you holding 6 times on one call. Glad it is time to renew insurance. I would rather be without insurance than keep these **.

The prior authorization process with Aetna is horribly broken. During the process of getting an approval for a medically urgent surgery, Aetna told me that my surgeon was covered, but not the location where he performed his surgeries and they recommended an inexperienced surgeon for my condition who they said was in network. The problem, this surgeon was not only inexperienced, but had recently lost all operating privileges at the hospitals. After 3rd level of appeal, Aetna realized that they had a computer problem and that the original surgery should have been covered the whole time.

Doctor's released my Mom for intensive rehab 8 days ago. The Aetna "case owner" nurse is taking precious days away from my Mom's recovery after she suffered a brainstem stroke while the Aetna employee decides whether or not to authorize desperately needed in-patient rehab. Insurance is dictating when, where and how the rehab will take place, not the doctors, nurses and therapists who have been caring for my Mom. Meanwhile, my Mom has been languishing in the hospital, not receiving the therapy she desperately needs for a full recovery and future independence. Medical staff and the rehab facility have said Aetna is the worst insurance company for approving needed services. I've been told it could take another week and a half before the authorization is decided. When did insurance companies gain the power to decide what a patient needs over the doctor & nurses' recommendations?

I was so hopeful for this new plan, based on it covering my necessary providers and being affordable. But I am preparing to write my 3rd appeal letter to them, because they denied coverage for things: 2 specialist visits despite referrals, plus one urgent care visit. The requirement to have a referral before seeing a specialist — or prior authorization before said specialist can order extra tests — has been a big problem. All of the specialists and my PCP say so too. Aetna customer service reps have been wonderful and understanding and promising that things will be fixed. And then they are not. I know I'll be tempted to renew with them if the $ looks good, but I don't think it's worth the hassle. How much worse could things get if I had serious medical issues?

Negative stars if I could. The website has a poor user interface, and is unbelieveably inaccurate regarding providers, their availability, etc. My issues go way back to last year's initial enrollment in their plan - they made false assignment of the PCP I wanted, and was listed as a provider accepting new patients. Well, that physician did not actually accept my Aetna plan, and I have spent literally days of wasted time and mountains of frustration regularly ever since, trying to simply find an acceptable primary care doctor.

The people are foreigners and can not understand us. It makes it SO hard to have a conservation. Please Aetna get some people on the line with your customers who can speak English! It is Crazy to try and get through with the people who can not understand us. I just spent 38 minutes on the line.