Aetna Health Insurance Reviews

Aetna does not care about the customer, client, patient... Are you in severe pain? We will take our sweet time to preauthorize treatment. Why? Because we don't care about you. Your doctor says it's medically necessary for these injections (twice)? No way, they cost too much and we can't make money off of you. We would rather you be unhappy, unhealthy and no we are not smart enough to realize that these injections will be less than what we end up paying out in the long run because we don't care about you. Lousy customer service. I guess the bean counters don't know what beans look like. The "company" that chose to go with aetna just wants what is cheapest. Why, they don't care about you. Puzzling thing is they told everyone that the insurance would be better than Humana. My ** it is. Humana is a far better insurance company. Hell, Obama care is probably better.

I have had Aetna for 6 months and they have done nothing for me, beware of Aetna.. No doctor, no Dentist, no diabetic care, no prescriptions, no eye care, no vaccinations, Doctors visits, no gym membership, NOTHING.

What a joke Aetna Insurance company is, left my mother sitting in the hospital over a week, denying her medical treatment even though she has in and out of network policy she has been paying for more than 30 years. Spent over 15 hours in two days on the phone with numerous Aetna representatives all incompetent and none was able to provide authorization which is covered in the policy my mother has. Now 12 days later, numerous Treatment facilities have now denied treatment to my mother due to Aetna was not able to provide them coverage for moy mother. Aetna needs to be sued by all the members in a class action suit preventing Aetna from scamming other members offering policies that cover benefits in and out of network but then do not or delay long enough that the providers give up and deny treatment.

Absolutely the worst insurance company I’ve ever dealt with! Very poor communication with my doctors / cardiologist to ensure timely renewal of Prescriptions, taking 2 months so far and payment for critical heart meds is still not approved! CVS Pharmacy (Aetna's prescription service) is the culprit causing massive delays due to very narrow refill eligibility and very poor communication with primary care providers! Do not recommend!!

My 1st issue is with their over OTC $200 quarterly quota. When you go into CVS most of the items covered have an empty space on the shelf. It's impossible to spend the money on your needs. The 2nd issue I have is the money they allow you to spend on Physical Fitness active wear (i.e. clothing, sneakers). I purchased a pair of Hoka sneakers and was informed a month later that they changed the policy and no longer cover sneakers. I said, "that is what sold me on your company." Their response was, "sorry we changed the policy April 19". I bought the sneaker on April 20th. I only had 30 days to return the sneakers and today's date is the 23rd so I missed out by 3 days for a refund and 1 day on the reimbursement. How do you change the policy in the middle of the year? Very disappointed with Aetna and will be going back to United Health Care at the end of the year.

I require maintenance heart prescriptions, Aetna provides 30 day supply which comes to 360 days of medication out of 365 days a year. When I asked Aehna for help with the 5 days that I have no medication, Aetna said I have to wait 5 days until I am eligible for a refill. So just keep in mind that every year you will not have medication for 5 days if you are on a maintenance program, and Aetna will do nothing to help. I hope you are not on medication for anything serious like your heart.

I would give zero stars if possible. Routine well woman exam that is coded correctly and is supposed to be covered by Aetna should be routine for Aetna processing right? No. They are one of the most incompetent groups of individuals possible, taking over 6 months to decide to “escalate”, i.e. process, previous calls where it was established this care SHOULD have been covered by themselves. Multiple affirmations of payment that SHOULD have been made and personal afternoons wasted but they can’t seem to figure it out. I shudder at how anything more complex would be handled. Letters are now being sent threatening us to be brought to collections over the lack of payment for a case that has been open for over 6 months. If you enjoy word salad, hollow apologies, assurance of “service”, and threats from service providers, this is the company for you.

I tried to get a prescription refilled only to be told my insurance canceled it (AND NEVER TOLD ME). I called the insurance who had no clue what they were talking about. But finally figured out they needed a reauthorization to refill. Why would you not complete this before the medicine runs out!

If I could give zero stars or negative stars, I would. I literally end up in tears if I have to deal with them. I have their HMO plan and everything about it is a nightmare. I may as well be talking to a robot.

This is the worst company to deal with. I am type 2 diabetic and I am currently with out a medication I need because this is the second time they have changed on me. I asked when I enrolled if they covered it in. Yea it's covered. I had to fight 3months to get it. Now I was told it was 25.00 a month. They now want me to pay 487.00 a month. When asked no-one knows why but all I'm told is I'm not supposed to be paying 25.00 and they don't know why I only paid that. Have several other complaints but it would take me too long to list them.

This Health Insurance Is 100% a joke? When they say that they cover things and you get a bill in the mail a couple weeks later. I am very disappointed and unhappy with this insurance. They say preventative care and yet they do not cover anything in till you meet your out of pocket deductible.

Aetna Health Insurance is a fraud. I tried to register for a PCP. I went through the entire list in the network. Every physician phone number called was either a wrong number or that the physician has retired.

It has been 15 days and I still don't have access to my insurance benefits even though I paid last month. I have called several times and no one has been able to help find a solution. I just was turned away from a doctor's appointment because I wouldn't have been covered. Do not get an Aetna plan if you need to actually access healthcare.

I wish I had never gotten Aetna insurance. I've been on the phone with them numerous times to change my wife's primary physician to one in network and still seeing the old doctor. They outsource their customer service and that doesn't help. Worthless!

One of the worst Health Care insurance companies. I have been going through a nightmare with Aetna for the past eight days. Their sister company Caremark sent my prescription on April 29 and USPS still haven’t received it…today is May 15th. I have been calling Aetna daily to get them to do an override code so I can get my medication at a local CVS pharmacy. After several days of calling them and being out of medication which I need to take daily…I went to Amazon's Pharmacy and paid out of pocket. All the reps at Aetna did was not listen, talked over me, and had me repeat the same steps I had already done twice.

Aetna customer service is terrible. They are of no help. All they ever do is ask about the zip code. It's pointless to call them. Also they have so few providers to choose from. I'm not calling them again since it's an exercise in futility.

Worst experience with Aetna HMO. It's a nightmare ever. Their providers list doctors. But after booking appointments, getting call that there is no coverage. I have a make multiple calls to customer care service which doesn't even connect a associate. I would not recommend it at all.

Horrible, horrible, horrible. Worst insurance company around. Good luck if you got talked into this horrific company. Was tricked into getting this insurance. They denied everything and good luck speaking to someone in the United States.

If I had a choice to give Aetna a star, I would give it none. Aetna Is the worst insurance I ever had. Wouldn’t recommend it to nobody. Good at billing people. Waste of your time talking to them. They don’t fix anything. They like making you repeat yourself over and over. Not everybody’s in the same page. They bill you for the same thing. Spoke to supervisors. Useless. They make all these promises, but it’s a big headache every time.

I was sold this Medicare Advantage plan under the impression that they would cover my prescriptions and doctors I had, we went through each individually before I chose it - and then they covered none of them. I have never spent as much time on the phone with a Medicare Advantage plan as I have this year, nor have I dealt with the same level of incompetence. I feel like I was tricked into purchasing this plan and now I'm having to do without vital medications until I can switch again at the end of the year because the sales person who sold me the policy lied about my prescriptions being covered.

I would give them a 0 if I could. You will have to fight at every turn to get any care you need. If you have ANY other options go with them. I've had Blue Cross Blue Shield and United Healthcare and never struggled like I have with Aetna. You will basically have to basically wait until your issues put you in the ER before getting care. It's traumatizing having to advocate for care that you and MULTIPLE doctors agree you need but some low grade failure of a doctor who works for insurance will deny. DON'T SUBMIT YOURSELF TO THIS STRUGGLE.

I got Aetna this year because its user homepage and customer service confirmed that my children’s pediatrician would be in-network. After confirming with the clinic and Aetna again prior to my children’s appointments that this provider was in network, I received an out of network charge for this visit. I called customer service to get it taken care of and the representative again assured me that the provider was in network, that I would be reimbursed and that I can continue going to this provider. The bill was never reimbursed/charged appropriately, the following doctor's visits all continued to charge this doctor was as out of network.

I switched to Aetna HMO-POS in January to see a dr that seemed like a good fit. It has been one nightmare after another and I am counting down the days to open enrollment. Save yourself the stress and frustration, just don't.

SHAME ON AETNA. Denying coverage for the desperately needed genetic testing for a FIVE MONTH OLD BABY with seizures and infantile spasms. The sample has been sitting in the lab for two months pending insurance approval while my baby has been getting worse by the day and is currently admitted to the hospital again. Not only did they initially deny the claim. Our Epileptologist requested an expedited appeal… and they denied making it expedited! Who is making the decisions at Aetna that knows more about what this very sick five month old needs than the experts taking care of him? His treatment depends on the results of these tests and every day that the sample sits in that lab is another day he suffers.

I am shopping for a new insurance company. Aetna Has Fallen to the ranks as United Healthcare and Humana have. They are raunchy as hell. They will lie to you. Deceive you. Change the policy on you without notifying you. Is that what you want when you are shopping for insurance. Hell no.

The customer service is polite, but nothing gets done. I requested a Formulary 4 times, but nothing yet. Also, the fitness allowance is a joke!!! We have been with Aetna for 10 years, but plan on changing next year.

I want to know if this insurance is a scam! I want to find a dentist from theurorivuder list and I cannot find one on the website nor will anyone contact me after I requested to have support contact me. The nurse that was scheduled to come to my home to do a health assessment said she knocked but didn't get an answer so she left and I had to reschedule with another nurse in 3 more months but I was waiting for her by my door in a chair for 2 hours when I received her text saying I wasn't home. I keep contacting them online for help and get no response.

Aetna will tell you something is covered but then it turns out it is not. One Dr may be covered but not the entire practice, but they don't say that on their website. They tell you the price of prescriptions but then when you go to pick them up at the pharmacy, they are a different price due not meeting your deductible. The plan did not state that would be the case. How can you make informed choices when the insurance company is hiding or burying the facts so deep you can't find them?

This insurance company lies to you. Before I signed up for Aetna I read all my medications three times to these people and they were all covered. Once I signed on to Aetna now three of my prescriptions are not covered. It's like every month one prescription of mine is not covered. This this is a ** company. I'm switching back to my other insurance as soon as I can, I do not recommend Aetna to anybody that needs medication.

I would tell anyone who is considering Aetna Medicare Advantage plans to look elsewhere. My wife and I both had their HMO plan and constantly had issues. Examples would be denying coverage when they claimed our providers were not in network. THEY WERE. It took months with many phone calls to clear it up. Then they were denying claims for simple blood tests. More phone calls. Most recently, they denied a claim for a PRE-APPROVED procedure that took place almost 5 months ago, claiming it was still under review.

Don’t do it. Shady bunch of folks. I have called the Aetna help line several times and get different (wrong) answers every time, I heard a dog barking once! Not worth the money. When planning a surgery did my part to confirm with my provider and hospital were “in network”. The bill came and Aetna charged me the full amount. When I called and explained the mistake I had the nice lady look it up on the Aetna website which shows “in network”. She agreed and confirmed by entering same information as me and agreed there was a mistake on website. 1 week later I looked it up on the the Aetna website and it has been changed now!

I have had Aetna Insurance for over two years. During that time I was diagnosed with a brain tumor and I have been unable to work. My husband pays thousands of dollars a year to insure our family. Aetna has refused to honor my medical claims and have repeatedly used the excuse that I have "other insurance." I do not. We have called them over and over again and they state that they will "fix the issue." They have not. In the meantime, I am continually harassed by bill collectors and providers have refused to provide care. Aetna has ruined me and my family emotionally, physically and financially.

Aetna CVS Health, is an insult to the health insurance companies. One star is too high for this trashy business with the worst board of managers, CEO and staff , they're just a bunch of scammers and manipulators.

I had a hard time understanding my benefits. I spoke with Camry a representative as she was very patient and took out the time to explain everything to me in a way I could understand. This helped me make decisions that saved me a lot of money. Thanks, Camry!

I regret choosing this health care coverage through my company. Aetna's customer service reps are untrained and can barely speak English, let alone follow through on claim issues and customer requests. Quite frankly I’m embarrassed that this is the coverage my company has provided for their employees. I’ll be cancelling my membership.

Recently switched to Aetna Mcr. Since switching they have denied paying for my 2 drug prescriptions I use. They will only pay for a 90 day supply then require an authorization from my doctor. I’ve been told by my pharmacist this is a problem with them.

Aetna HMO Medicare takes advantage of the elderly. I couldn’t find a primary care doctor within 100 miles of Austin, Texas. When the customer service agent said he found someone, the doctor was NOT a practicing doctor any longer. When I called Aetna to tell them their mistake, they couldn’t change it in their system for ten days. They signed me up for a doctor who doesn’t exist, and I have to wait to get my new insurance card with a doctor who can’t see me, and then I have to call them to make the change back to a real doctor. Do you understand how ridiculous this is? They basically signed me up to have NOBODY as my primary care doctor. But they can’t fix their mistake. I have to remember to call in 2.5 weeks to remind them to change it. Aetna is a crime against the elderly. It is an atrocious system. Save your money. Save your time. I promise you, any other company is better than Aetna.

My son and I have been on Aetna CVS Health coverage for the past four months. I am now counting down the days to get off this plan. The coverage is lousy. When you sign up, their policy states that preventive visits are 100%, but you will still be charged. I went to doctor to have both my cholesterol and thyroid checked and I now received a lab bill for $103. Apparently, the doctor is in-network but not their lab. How does an insurance claim that the doctor's office is in-network, but not their lab work? If you are in the deciding stages of finding insurance, do yourself a favor and don't purchase this insurance.

We use Aetna and I have had hip pain over the past 2 years. We tried different things to see if it would help but it has not. I went to see an Orthopedic DR and after an X-ray the Dr determined I needed a hip replacement. I schedule the surgery and the insurance denied the claim. They stated I needed to go to physical therapy first. The Surgeon called Aetna to do a peer to peer call and they actually got in to a dispute. The Insurance Dr. stated I needed to go to PT first and the Surgeon stated that would be just painful and have no positive results. The call got heated and the surgeon asked what type of Dr. he was and he stated he was a retired pediatrician. The surgeon sent in him the X-rays and it show that the hip would not be able to be repaired with PT.

Worst employer forced insurance I've ever had. Everything costs more because of their policies and lack of equal opportunity, seems like they punish one group of people to try and help others. DEI driven politics being played by employer based insurance company.

I recently went to the ER for shortness of breath. It still isn't resolved, but they keep denying tests. I needed a shot for my Rheumatoid Arthritis but they denied that for a long time. They don't cover weight management programs. I could go on and on. Plus, they have a very high deductible and I have a lot of medical supplies that I have to pay out of pocket until the deductible is met. Also, you have to get pre-approved for everything. I am very frustrated with them. I thought they would be better than the last insurance I had, but they are worse. I think as soon as I can I'll go back to my old insurance or change this one. They are not worth it.

Aetna is the worst coverage any company can get if they actually care about the health of their employees. My wife has had severe back pain issues for years. She has been through every treatment and has done everything they have asked. They finally referred her to one of the best neurologist in the country and he recommended surgery to remediate her issues. He ask what insurance we had and when we told him it was Aetna he shook his head and said it will be denied because they deny everything, and sure enough it was denied. With no explanation or any direction as to what to do next. This was the prognosis of one of the Doctors who is one of the top neurologists in the country, but the insurance company doctor knew better without ever seeing her or examining her. This should be illegal. This was done for corporate profits and to hell with patient care. We continue to fight. I wanted to do zero stars but they require you to hit one.

My experience with Aetna was hellish nightmare. Totally demonstrated they truly don't value members or our membership. Tons and tons of apologies but no correcting any. Truly has no respect for any concerns or ability to correct or provide assistance whatsoever. Myself and partner. Found a way to disenroll effectively immediately. And go elsewhere even if we could not we rather have none then continue with Aetna. It's that horrible horrific experience we had.

While Aetna is very good at making promises they are awful at paying claims. Always some excuse! In early January I requested claim forms for a new benefit. After waiting over 60 days and numerous phone calls I was finally told I have to resubmit claim as I used the wrong form. THE WRONG FORM was provided by Aetna customer service. The supervisor I spoke to said they rolled out the new benefit without properly training all personnel in how to help member's request reimbursement.

I would strongly recommend any insurance company over AETNA, even if it costs a little bit more. We have been trying to get a certificate of insurance from the company for over 6 weeks with nothing but the runaround and harassment. We have spoken with numerous customer care specialists and depending on whom you speak to you get a different story.

My Aetna plan is through my employer, so I do not have the option to drop them. If you take maintenance medications, do not go with Aetna. Because Aetna is owned by CVS/Caremark (yup, you read that correctly) the only pharmacy I can use is....yup, you guessed it....CVS/Caremark. And guess what else....my prescriptions now cost me substantially more than with my preferred and local pharmacy. Go figure. Total rip-off and I just can't wrap my head around the fact that it's legal.

This insurance is a waste of money. I'm getting ready to retire and thought I would pick them but after filing a claim with my employer and they denied it no way, I would cancel now if I could but, will in 3 months.

This is the worst Insurance we've ever had. They don't cover much and what they do is the poor services and products, Should be investigated by authorities. Please look elsewhere. Will fight every you every step of the way.

We joined in January 2024. Huge mistake to. Seems at Aetna policy is have no concern or value new members. Very horrible horrific experience with Aetna and and the numerous apologies after apologies so on and so on. Truly unable and unwilling to correct mistakes they made and then further alienated new members and further treat it as they did such a fantastic job with the mess and messy way they handled and treated you. Very disrespectful and disregarded your concerns of such unproductive and unexpectable handling and continuing to be unproductive or effective to contact Aetna. It has no value of honesty and commitment and don't value new members at all or has any valid value to remain on Aetna.

I have MS, they know I have MS, yet deny important imagining to monitor the condition. So apparently they know more about it than my doctor. Had a bad fall in December. Denied more imaging but paid for all the pain meds no problem....

On January 2nd, I bought medication and it was covered by Aetna in the day, but Aetna mailed me after 2 months, asking for the payment on that medication that was already covered by Aetna on the day of purchase. When I checked with the pharmacy, they said the medication was prescripted before the end of December and it was supposed to be covered by Aetna. So I bought the medication, and I paid the amount of co-payment after the insurance went through, But now I have to pay for the full price. Because Aetna said I was not covered from January 2nd. The important thing is that when I bought it, I checked and my insurance was applied, after that, Aetna told me to pay because it doesn't apply to me.

I was advised to go on Aetna by my disability lawyer 3 years ago. It’s the worst mistake ever! I have not been given a primary care doctor yet that accepts patients. They are a nightmare and as another person mentioned every time you call you get a different answer. I have spent 4 days worth of phone calls (so far 2 hours today) with no solution. I ran out of blood pressure meds a week ago and they don’t care. 2 agents have told me to call the prescription line but they can’t do anything. It’s a waste of time. If they could get me a doctor then perhaps I’d have a refill. If I die it’s Aetna's fault. They are the worst!!!!

Worst company in the world. I submitted a simple claim for a dental cleaning and checkup, in network. They did everything they could to sabotage me, three times:

Switched from my previous insurer to Aetna and boy do I regret it!! They didn't cover my frames or lenses (in network) and they didn't cover my mental health appointment (in network). This insurance is horrible.

I began a new policy with Aetna in January 2024 after 20 years with Humana. It was a huge mistake! My new PCP is too busy to see me until next month for a UTI, and I cannot even come by to give a sample after having been treated by an Aetna clinic with no follow-up and still having symptoms. I need permission from the PCP or their NP, and she has to speak with me on their remote portal first -- next week.

Spent 4 hours on the phone so far with Aetna to get pricing and in-plan locations for a simple blood test. Their agents are POORLY trained giving different information every time you ask a simple question. Many hours wasted trying to figure out how to get the help you need. Today, 3 agents give out wrong telephone numbers to call and gave 3 different costs t of services for the same product. When you call back you get you have to start at ground zero once again. By the time you get an agent that knows what they are doing it's too late in the day to get labs done. Monthly premiums are about the same as other companies but ER visits are $1,000 per visits, Co-Pays for office visits are literally twice as much as with United or Blue Cross. Necessary medications for us are so expensive that there is no benefit to having insurance at all. Literally, it is cheaper to pay cash. It would seem that an employer that uses Aetna has NO care at all for their employees.

For 10 years I have been their insured! NO MORE! A ms. michellle **, of their medicare complaint team, committed elder abuse by failing to assist me in obtaining my insulin, which I was on for 13 years and ran out while travelling. Meanwhile, the company had substituted one insulin for another as their approved formulary. She further refuses to provide me her superior's name after numerous requests! Trying to contact the company's executive office IS IMPOSSIBLE. NOT A COMPANY THAT ONE WANTS TO BE ASSOCIATED WITH!

I think somebody took a massive bite out of their dental bill. Embarrassing coverage, surely profit motivated from my perspective. I sure wish I didn't have this insurance. When I see that the capital growth that they had last year, what I pay and what they do not cover is an embarrassment.

I have experienced nothing short of a nightmare with medical claim reimbursement for a family member with a policy from Aetna. Through much time and effort, I have found contact information of Aetna employees capable of addressing ongoing issues. In my experience, contacting each person with continued follow-up was the best way to resolve Aetna's missteps and the only way to be reimbursed for clean claims after Aetna repeatedly violated the 40-day timely reimbursement requirement by the state: Michelle **, Chief Customer Officer: **. Teresa, Executive Director Service Operations: **. Federico, Legal: **; Email: **. Zuri, Complaint Response: **. Please share this information with others in need of assistance as I know how difficult it can be getting properly reimbursed by Aetna.

DO NOT TAKE THIS INSURANCE, (AETNA MEDICARE ADVANTAGE PREMIER PRO) OR TRUST ANYTHING ANYONE FROM THIS INSURANCE TELLS YOU OR ANYONE FROM A COMPANY SELLS ADVANTAGE PLANS!!! I have been on this insurance for 1 days and have been denied medication that I have been on for a year despite insurance people calling them prior to my changing plans. This company takes advantage of seniors and does nothing to promote health and wellness if it costs them money. I have been on the same medication with wellcare for over a year but this company denied it after saying they would cover it. Now I have to go back to my old insurance but I can't switch back until April 1. It is March 1 so I am without coverage now for an entire month. DO NOT CHOOSE THEM!! They are horrible.

Had switched from United Healthcare to Aetna.. 2 years ago. Until I needed Dental Care and Vision Care - everything was decent. After being told (on the phone) that there were no participating dentists in my area (-when having a loose front tooth and gum infection from bone density issue) -- I was sent to a dentist that was 45 minutes from my residence who did poor dental work and wound up with temporary bridge on upper front section of mouth (for 2 months) which popped out -- 3X times while on SOFT FOOD DIET. Was placed on ANTIBIOTIC and that killed.. 1 week after EXTRACTION of tooth. Wasn't told that bridge needed to be sent back.. 24 hours before Thanksgiving until I showed for appt and bridge was awkward and uncomfortable and wrong color.

Being with Aetna for 3 years, My two providers were unaware they are not on Aetna's 2024 providers' list, went there as I have done for the past 2 years, and claim denied, they even logged in to their Aetna provider portal, no problem, but as of January 1st 2024 they are no longer covered, provider is still unaware why, no notice, no reason for the policy change. Through a little more research our closest 3 hospitals have been removed from the in-network status. Our closest hospital is now 19 miles away instead of 4.5 or 5 miles away. They further have hospital groups but none of the doctors in the group can be used as a provider, this is some sick game that can't be changed until next year. It's not cheap 7K p/year for my wife and I and they continue to cut providers.

Managers, operation manager at South Florida branch and the lack of knowledge of the Medicare programs offered for 59 million retires. There is a culture of non care for members medical issues, lack of interest of their part by delaying cases or delegating real health issues from retires. The information provided to subscribers is not accurate, rejecting and delaying medical services, benefits are not given to avoid the use of them in order to get a bigger bonus semestral. At this particular branch the culture is just how much is the increase for the manager stuff yearly plus the highest bonus they can get. Not recommended.

I've been tonight twice for back surgery headed MRI the neurosurgeon says I need back surgery and it says they didn't get the proper paperwork which they did. They lied and it says I didn't do physical therapy which I have. I'm in 4 weeks of physical therapy. Then they denied it me being in 4 weeks. They said I can't. I haven't completed 6 weeks. I can't take 4 weeks and end up 6 weeks in one day. They're a bunch of liars then I finally talked to him and they and then they come out and said that it's about the money because they're a bunch of liars.

These Medicare benefit debit cards are a scam. First they don't tell you how to use them. Next you have to be savvy or young enough to get online to find "nations benefits" (nowhere on Aetna site) then you search or how to use or where... There are pictures of canned food. Campbell soup is $4 a can and ships free (because they scam you at $4 not $1 in the store)... But what store? I had to call to get a human. No store locations. Went to local grocery to use MASTCARD and it failed 3 times.... So you're 90, can't walk, standing in line, holding up others, and your card is declined (must run it as credit even though debit) but that's not why it was rebuked.

The associates here don't care about members. I have spent a total of 3 hours on the phone with them today to get help for my son with special needs and each time I have been transferred to someone else or told that don't have enough information. If I could put 0 stars I would because it's crap. They are expensive and I got better care on state health insurance. The one lady I spoke to Raven was rude. Kept me on hold for more than an hour and a half continuing to apologize for the wait and I told her, "I'm sorry. I have to work. I know you're doing your job but I can't continue to wait," and she told me "no ma'am you have to be on the line." I don't see why I should have to be doing all the footwork to get answers for them when they are completely uninterested in the needs of their members. Money hungry people. Don't waste your money....

I was with other employer-sponsored insurance plans, most recently Blue Cross Blue Shield of Illinois, for over 25 years, and never had a claim denied until now, when I've been with Aetna for a whole month. It's been maddening trying to resolve this it. I spent an around 45 minutes on hold yesterday with Aetna, including after 30 minutes being transferred to another company Aetna employs to help them deny claims so Aetna can pay their executives and shareholders millions. Private insurance is a huge scam foisted onto the American public. Private insurance companies are parasites on the healthcare system. They provide zero value to patients and pad their profits by denying claims. And if that's not enough, they're coming for Medicare with their Medicare (Dis)Advantage scams.

I signed up for Aetna's Silver Script Prescription plan. I am in California & at 65 yrs old I am disabled with Medical/ Medicare coverage & required to have part b prescription plan coverage. I left Humana in Jan.2024 after 10+ years of 0 issue service! My premium was going from $14+ to $50+. Much too high for me to pay. I saw the poor ratings but it was the only affordable low cost choice on my SSID income. I was lso aware (1) of my medications would require a pre-authorization, but told it would be covered with the pre-auth. I had my doctor send the required pre-auth request for approval in late December 2023. Aetna waited until Jan 17,2024 to process the forms & mailed me a letter stating my medication ( fentanyl 37.5 mcg/ hr patch) was approved for 1/1/24 - 1/16/25.

My cane broke 1/26/24. I went to Walgreens to buy a new one with my benefits card. It wouldn't go thru. I went outside, called customer service, Dorothy answered & stayed on the phone with me until after 3 stores, I finally got the cane specified. She gave me comfort & understanding the entire time! Even when I was driving from store to store Dorothy's voice kept me calm! I was getting frustrated, too. She is such a special woman! Very confident & professional! I'd like to compliment Dorothy on her work/customer relations, and having a heart of gold to be so patient with me on the phone. Thank you again, Dorothy!

I can only echo the majority of the reviews here: Run. Away. From. This. Insurance. We got Aetna Innovation Health and had it for 6 months. During that time, every instance I had to speak on the phone with one of their “agents” my blood pressure went up significantly. They were so non-helpful, I wanted to pull my hair out. I’ll try and reiterate some experiences, as painful as they were, to provide examples:

I was changed to Aetna from United Healthcare and Aetna is ridiculous. I’ve been on the phone for 3 days trying to get a prescription transferred. I only need 28 more days! I have been transferred more times than I know!! Nobody knows anything!! Run from this company!!

I call this company and I Spoke with them 6 times Trying to find a primary doctor in my area, she gave me a list of 7 doctors and NONE of them accepts the Aetna Cvs Health! I call again and they gave me another list that didn't work again..

Went to Florida Comunity Health Center which was assigned by Aetna as my PCP. They do not accept Aetna and sent me to the walk in clinic on the other side of the mall. The walk in clinic would not refill my prescriptions and charged me $130.

Take a look at thier reviews before you hook up with these guys. Tried to get on the Advantage plan during the open enrollment. There were issues with the application, which I took care of, and they denied my application due to no response. No mail, No email.

....and then it's the wrong department/won't answer my SIMPLE question. I just wanted to find out how much they covered for a procedure. It took me 27 prompts and I noticed a repeating prompt menu. When I finally got to a live person, she said she couldn't help me, but 'Caroline' was in the right department waiting for the transfer. After a 8-minute hold, I finally gave up! Ridiculous. I was considering Aetna for health insurance, but if it took me this long to get a live person, what good are they?

I have very little mobility of my neck due to a herniated disk between C5 and C6 and stenosis of my spinal cord. Aetna's pre-certification team has wrongly denied my surgeon's request for surgery. They claim that I do not have at least 6 weeks of conventional PT. Yet, I did have this amount of PT at my chiropractor's office. They claim that chiropractic documentation is not sufficient, yet only 5 percent of my session was spent talking to the chiropractor, while the remaining 95 percent of the session was spent in PT in their facility. Thus, Aetna is truly playing with words here. They are prolonging my pain and ill health, and they should be brought to court. They have no shame and do not care about the wellness of the people who pay their premiums each month. They are just racketeers who juice us of money and do not help when it is medically necessary and when one needs it.

Aetna Care SMH. Lots of members are affected by your decision. The contract was canceled at the end of the year locking members in for the 2024 year, not giving them the choice to decide if they want to switch their plans. SMH I work for Papa Pal please reconsider your contact with us.

I paid my premium on Dec 6th, 2023 to activate a new family plan with Aetna CVS Health for 2024. As of Jan 3rd, my member ID and account are not active. I've made multiple calls to customer service and was told by a supervisor that this would be resolved today, which did not happen. Without an active account I am not able to use any of my medical or pharmacy benefits with providers. Completely unacceptable. The old adage, you get what you pay for is accurate in this case. I will be working with my broker to promptly change to my previous insurer and do not recommend Aetna CVS Health.

I hate this insurance, Aetna CVS is so unprofessional, I called them sick to get a list of providers, my birthday wouldn’t let me access it, I called back and was disrespected by Justin **. He got upset and yelled several times, I asked for his supervisor and he still continues yelling, saying she will tell you the same thing, then yelled and don’t yell at her, then yells I’m getting her. I’m going far as I can with this.

I made a payment for my premium and the processing department dropped the ball. They were supposed to take the pending status of the claims and they didn’t. I missed 2 doctor appointments and a chiropractor office appointment. After I called 5 times they told me it would take 24-48 hours to be updated in the system. It was supposed to clear the 29th of November and today is the 20th of December. Whoever is on this processing department should be fired. There is no excuse for this. Totally unacceptable. This insurance is the worse.

I have no out-of-network benefits, so I called Aetna to ask for in-network dental providers. They gave me a doctor's name, complete with address. So I went to see this doctor for consult. Months later, I receive a bill from the doctor stating that Aetna refused to pay and that I have to pay for the visit. I would not have known this doctor from Adam if that Aetna representative did not give me the name with the address. They told me to go to this doctor and I will be covered, but I was not! I ended up paying for it and apologizing to the doctor. Aetna is a shame!

This year Aetna CVS has been my main source of stress. This company is purposefully structured have accountability and to be dysfunctional. Through the month of February I received my generic prescriptions at “no charge” since that is what my plan benefits provide. Afterward, my pre-deductible benefits vanished. I called and was told that I must meet my deductible before I had RX benefits. I have called dozens of times to try to get my RX Benefits reinstated, to no avail. The language of my plan clearly states for tier 1 generic RX “deductible does not apply” “no charge” and “no deductible applies”.

So bad that I still get the shakes thinking about what they put me through. Like most every plan in the healthcare industry, if you're in good health they're all good enough. I specifically needed this plan to pay for an out of network therapist and although in their documents they say it can be accomplished, in reality it was a nightmare getting them to pay..which they didn't and I ended up paying out of pocket.

July 2023, diagnosed with palet cyst/tumor. I have seen 5 doctors and 3 1/2 months later I am no closer to getting this removed. A palet cyst is removed by opening a hole in your palet, removing the mass and testing for cancer. If someone at Aetna spoke English and had any understanding of medical...Empathy and compassion won't be found here. It's painful, pressure in the face, nose and head. Two MDs that can remove this can't get approved by Aetna and state this must be removed now!! God help us all.

Aetna won't approve anything and you can't even talk to them, you have to communicate through their screening service Accolade because they know they are crap and don't want to handle the dissatisfied customers. Doctor requested a MRI of both knees and I had to make two appointments with two co-pays because Aetna won't perform two MRIs in the same week. Aetna would not approve an MRI for the herniated disks in my lower spine, a condition Blue Cross Blue Shield had no problem treating and approving an MRI without 8 weeks of therapy and co-pays first. Aetna's provider list is not up to date, I try to make appointments off their list only to find out the provider no longer works with Aetna and I will be out of network.

This is the worst insurance plan that I have ever had (AETNA CVS), they don't cover bills even if the physicians are in network and with referral. I can't wait to switch to another company. I always pay the co-payments and deductible and get bills afterward with very high prices "not covered" by AETNA.

First, customer service people tell you different things online, not consistent. Second, had surgery but they did not tell me I was going to have to pay a ton of money or I would not have had the surgery. They did nothing to lower it for me and now I'm stuck paying out money. I have dental PPO and I heard that they will cover a deep cleaning of the teeth/gums but I have to go 2 different visits to break it in half....Why? How unbelievably stupid. Unfortunately, the crook I work for chose this company over Anthem Blue Cross because he's cheap.

I keep getting solicitations addressed to my mother-in-law at our address. She committed suicide several years ago. My wife does not need this depressing reminder. Numerous emails have brought no action - all I want is the name to be removed from their mailing list. These people are completely insensitive, and I would never, ever do business with them.

I will never recommend this ins to nobody, worst customer service. Nobody knows anything I purchased this ins since September 2023 is October 2023 and I'm still inactive, mind you they are taking my monthly payment out my account. I have called about 52 times regarding my case, still they don't write notes on patient's file meaning I have to repeat myself over and over every time I call, between market place and Aetna is being the worse experience ever. Quick Note they don't have a manager that you can speak to, DO NOT BUY THIS PLAN.

I choose Aetna CVS Health for my plan with a $7,500 deductible. I have to pay the $7,500 deductible before they will pay anything on my prescriptions which is a life saving medication (HIV) **. I've always had insurance through my employer & never in my life did I have to pay the FULL deductible before they will cover medications. WORST insurance EVER. Even if I pick a plan with a smaller deductible $3,500 the same thing applies. I will never go without a job again. Lesson here DON'T GET OBAMA CARE.

My wife is therapist. She just changed her office, but she needs to have a new credential with Aetna. It's been more than 2 months and they are so slow, and now my wife is freaking out and she thinks about her clients who have Aetna insurance since she cannot see them. Whenever you call them, there is a third company taking care of their customer service which they are not trained and know nothing.

Worst insurance ever. Their whole operation is to deny claims, make you file appeals and wait months to deny again. The incompetence of their employees is a deliberate attempt to cause frustration and cause people to give up. Don’t use them for health insurance.

Aetna PPO misread provider information. They compounded the error by not researching documents that were provided and I was given three different explanations over the course of two weeks. There was a huge disconnect between customer support (advocates) and the persons who processed information and appeals. Very disappointed with lack of coordination as well as follow up. R. **

Need medication? Get ready to be denied over and over with zero justifications. Need to call someone to ask a question? Get ready to be transferred to someone in the Philippines who doesn't actually speak English. If you have an option to avoid Aetna do yourself a favor and run.

We have been Aetna members for 20 plus years. Our monthly premium is almost as much as our mortgage. For 3 years, I cannot get injections approved for migraines forcing me to take pills twice a day. I live in chronic pain. Anytime I call Aetna, I am promptly forwarded to the next person. Every person is outrageously rotten and unhelpful. I made it to Corporate office and was treated so rude. There is no accountability nor concern for their members. I am hugely disappointed.

I have sat and watched my parent suffer with a broken back while waiting on approval from this company. This is the worst company you could have. You would be better off having no supplemental insurance. It is sad you work your whole life to have someone do you this way. I suggest that no one buy this kind of insurance.

Aetna HMO is not consistent with their service. In some areas you will find that procedures will be approved without issues. However, in my experience regarding procedures specific to women, they have been very difficult. From getting approval for doctor ordered procedures, to filing documentation for appeals and getting assistance from departments to get the information they need to approve procedures has been cumbersome and to no avail. To having prescriptions that prior to signing up were approved to them being removed once you have signed up with them. I specifically checked for the two prescriptions I was using prior to making a decision on a plan. Only to have it removed not even a month after starting with the coverage.

I was scheduled for a septoplasty/sinus surgery and a week before the surgery they denied my authorization. Despite my severely deviated septum, a large polyp in my left maxillary sinus that covers half my sinus. And the mucosal thickening. They're saying it is not medically necessary. When you can't breathe the sinus infections causes drainage into your lungs causing your asthma to flare up and causing pneumonia.

Have had Aetna Medicare Prime HMO for a year. They have denied a MRI of the breast that was strongly recommended by the radiologist. This occurred in Feb 2023. Have had mamos, and ultrasounds and the radiologist is concerned. No help or answers from the dispute dept. To say I am worried is an understatement. I will be changing to a different company as soon as open enrollment comes up. You are taking your life in you hands with this company.

Aetna denied my surgery for nicotine. Problem is I don't smoke anything with nicotine in it. And nor does my surgery require me to be nicotine free. Bottom line they don't want to pay for my surgery. So this insurance company is trash. I am going to change to a different company in October. So please don't d choose them for your medical needs. They are TRASH. PERIOD.

I called Aetna initially to find me an ortho in network (couldn't find one myself). They found one and referred me to one, went there and after all the stuff being done, found out wasn't in network and want me to pay out of pocket! Nothing was done anway just spoke to ortho about neck problems and still wanted to charge me $280 - will change this review if they update it (have managers looking into the case over at aetna now)

Two Aetna Drs. fired by me. They just would not listen to me. Felt pretty good. If you're bad you need to go. I have never done this before. Got my old insurance back. Happy, happy, happy. If you need extra help you can ditch Aetna today. Wots

Can I give zero stars? Or negative 10? MRI ordered by a physician due to chronic health condition. Denied because they want proof of 12 weeks of physical therapy (which they don't cover) - I've had said condition for about a decade. Deductible, coinsurance, in/out of network maximums have a bunch of loopholes to make you pay out of pocket as much as possible. Will deny medications prescribed and make you fill out forms for pre-approvals. Horrible, no regard for people who are sick and in pain, just out to make more money out of people who have no choice but to dish out.

Run away from this ** scammers. They paid for my earlier doctor visit but now they are not paying for it, without any reason. The call support is stupid, they just say they are in-network deductible and "apologize for waiting". CEOs of Aetna must be laughing from making tons of money from people like us.

Aetna is TERRIBLE. They withhold payments to MDs on a unilateral basis. They deny coverage despite clear evidence service was provide. IMO, Aetna is a fraud of an organization. Do NOT get Aetna!!!

I fought with them and they made it take so much time I've been without my inhaled steroids for a week on top of being sick. I tried to explain to them unless they want the hospital bills coming up from not being on it, I need it covered. Had a doctor call and everything for pre authorization. They are saying I have to try other ones even after having terrible side effects from other inhaled steroids I've tried. This is the only thing that has ever kept my severe asthma under control. Hope they like my hospital bills, I won't ever be a customer again after this year.

Aetna has to be the worst insurance provider I've ever dealt with. They randomly decide to reject your claims for no apparent reason. They'll tell you a test is covered then when the claim is processed they'll reject you. When you contact customer service they'll not helpful at all. They don't even read your question fully and they give you some generic boilerplate answer.

All my doctors have told me that Aetna is THE worst insurance to deal with, constantly denying coverage for necessary things that they say is covered under the plan. So far that’s 100% true. I’ve been thinking about quitting a mid-level well-paying job at a well known software company just to get off Aetna. In January, my doctor ordered a MRI of my lumbar spine and neck from a chronic issue caused from an accident that is getting worse. My back has been blowing out constantly and they want to do surgery.

Call wait times are usually 30+ minutes. Often times I receive conflicting or contradicting information from different representatives regarding authorizations or approvals. Coverage amount for mental health isn't good either.

This is a great service that allows people to get emergency help when needed. It gives peace of mind knowing help is always available when you need it. It can definitely save your life when you make the call.

By far the WORST customer service I've ever experienced. I won't waste time with details but I will say that I called them about 10 times over the course of a month (after I newly signed up) to get problems fixed with my online profile and each time I was either given the wrong information, transferred from someone who "didn't handle it" to someone else who "didn't handle it", I was told someone would follow up on certain things and then never did, I often got people who spoke broken English and I could tell they were looking up answers and then either making things up or giving me their interpretation of what they were reading, the list of PCPs on their website is very outdated (I tried 4 different PCPson their list only to be told that for differing reasons the PCP could not be used).

I thought this was good insurance until my father really need it. He has been hospitalized because suddenly he is unable to walk, cause unknown. They denied him for inpatient rehab services. We then tried skilled nursing facility with rehab services. This was denied. They said he was capable of going home, after doctors, therapist, and case manager told them he needs inpatient rehab services or the skilled nursing services. He is unable to get out of bed on his own, rise from a chair, or walk. How can they deny him much needed and necessary services? What are we paying them for? I was under the impression that you pay for insurance to receive needed services.

Aetna falsely advertises free preventive care. Please, pay attention to Aetna's billing summary! Last year, my husband had a routine checkup and routine lab tests by his PCP's recommendation. Later, he received a $114 bill from the laboratory and we discovered that Aeta treated these tests as diagnostic tests. We appealed twice to Aetna about this. However, they responded that it is considered a diagnostic test because my husband didn't finish his blood tests within 7 days after PCP was ordered.

Aetna decided to part ways with UCLA in February 2023. I can't help but think they were being malicious & deceptive in their choice of timing to break the news to their patients, as they were told only a month after the window of time patients were allowed to choose another health insurance provider. I've been having sleep problems since October of last year and need to get a sleep study done. My old PCP decided to leave UCLA around the same time, and Aetna wants me to get approval from the new PCP, who won't be in office until May 2023, IF AETNA DECIDES TO STAY WITH UCLA. Aetna is a joke of a company that only cares about profit and not the health & well-being of human beings. What a bunch of liars and cheats!

We are new to Aetna and we have specialists that care for a chronic condition. Appointments are made 1 year in advance. Now, Aetna is saying that I cannot see that specialist without a referral from a primary care physician even though these are continuation of care issues. We have not been able to get an appointment with a PCP and so my daughter is going to lose her appointments with her specialists because of red tape. Had the specialists been out of network, I would have just filled out a form and the appointments would be covered. Because these doctors are covered by Aetna, the process requires a visit to a PCP (we don't have time to go to a PCP to get a referral... and why would we need to do this if it's literally just to check a box??? A PCP cannot help... these are appointments for continuation of care that took us years to get to this level of care to begin with!) This is insane.

First of all, Aetna will do ANYTHING to avoid properly covering you. I saw a PCP for a routine medication visit (literally a 15 min visit to discuss if my meds are still working). Suddenly Aetna decided that my Nurse Practitioner, whom I had submitted claims for just 8 wks prior, was not only a DOCTOR but a SPECIALIST. So my copay went from $20 to $50 for a 15 min visit with a NP. I submitted a complaint and the representative that I was messaging with, just kept repeating that "Our records show ** is a specialist". I have asked to see proof, I have asked them to look at previous claims, I have screen shot the clinic's website where it says that the provider is a NP, I have screenshot previous claims, and they simply WILL NOT discuss this with me.

The website for Aetna is one of the worst I’ve ever dealt with. There are no options to contact anyone by email; the option to telephone tells you to go get the number off the back of your card. When you call and opt for the “concierge” option, the person answering is there merely to answer the call and write notes in your account. I ask to speak to someone in billing, and I am told the billing department is in a “back office” and does not accept calls and does not have an email address. Aetna endorses the e-checks sent by my bank but does not post the payment to my account. The entire experience makes me feel as if I am dealing with gangsters.

Their transportation promise is bogus. They never show up to pick you up to take you to or from your doctor's office. Their PCP listing is full of con artists. One says he'll see patients but is booked till 2025 and wants you to see his nurse. (Hans **). One Medical, one of their providers charges $199 to sell an Amazon gadget called Doximity under the pretense of membership. You can't be assigned to a doctor unless you purchase this membership. Their network dentist does a sloppy cleaning and tells the patient "to go to Turkey to get her teeth fixed" and charges $990.00 for not providing any treatment. PCP THEY ASSIGN GETS DENIED 4 REFERals TO SPECIALISTS.

Banner Health, with which our family has had very positive experiences, and Aetna appear to have cobbled together an inept insurance program with almost impossible to discern co-pays and out of pocket expenses, actual covered services or real in-network facilities and physicians. My carefully chosen PCP's first appointment was over a year out; the first available PCP over five months. The website is hideous to navigate and offers almost no concise answers. The "member number" for help is not but when you do get to their "concierge" services these poor folks appear to be trying to navigate a system as murky as the patients do. Could not get a definitive answer on a colonoscopy despite one inept and one very well intended and smart seeming person doing their best.

We were just trying to get some proof of premiums for my elderly mother-in-law. Has been impossible to get it. This company has been extremely difficult to deal with. Talk about a run around. Too bad I cannot give them zero stars. The sixth person we talked to, after four phone calls, did a nice job. She seemed to want to help us. Not sure if the others really cared. So maybe the one star is deserved.

Checked Aetna's website prior to utilizing a practice and physician on their website. Listed as in-network. Called to speak with a representative and their response was "in-network." My husband and I have had the same plan since 2021 through his company. Chose identical plans both years. 7/26/2022 provider reaches out to Aetna for insurance verification prior to starting services. Mails copy to me and I begin. I'm 2 weeks away from surgery, more than $5000 out of pocket towards health care, and I received a call from Aetna and facility, saying it's NOT covered. I'm still in the same plan-year. Nothing has changed, except Aetna just said "nope."

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

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

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

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

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

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

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

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

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

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

My daughter paid out of pocket over $2,000 for medical work and the company kept promising to send her a check. They lied. The worst customer service with reps who like to argue with you. As a retiree I wish that my former employer never switched from Blue Cross/Blue Shield. Stay far away from this company. They need to be investigated.

STAY AWAY FROM THIS COMPANY. The plan coverage details listed are confusing. Their representatives and my doctor's assistants weren't able to decipher the information provided which resulted in the denial of an MRI that I desperately need. I'm experiencing severe spine pain with neurological symptoms and they expect me to wait up to 30 days for an appeal process. Wish I would have read these reviews before I became a member.

Husband had to have surgery. Did our best to get referrals for specialists leading up to it. Claims folks kept nitpicking but eventually paid. He was cleared by Aetna for surgery. He has the surgery and then the hospital submits the bill. Suddenly they start to second guess and we had to send his medical records. Now their nincompoops are claiming the surgery, which had been pre-approved, is now not medically necessary and we have to pay $45k ourselves. So now we have to go through a lengthy appeal process and contact doctors and meet with their appeals department. And all this to happen during the work day when I am supposed to be, you know, working.

Aetna deserted me in my hour of need. I am 75 years old and was very active till I started having back pain shooting down my right leg. I could not drive, bike, etc. About all I could do to relieve the pain was to lay on the floor. I could not even attend church on Sundays. My orthopedic Doctor requested an MRI to determine treatment and it was denied by Aetna. Aetna suggested physical therapy and I went. The first thing I heard at PT was "do you have an MRI." So it has been about 8 months of pain. Over the last 10 years I have paid into Medicare over $40,000.00 in monthly payments and Aetna denies a Doctor requested MRI.

Every bad thing you hear about insurance companies is represented by Aetna. I received an approval letter for a treatment. The medicine they approved was not carried by their required pharmacy. After many hours of contact trying to get an explanation of why they would approve a medicine and require me to use the pharmacy that doesn’t carry it I was told that there was a specialty pharmacy that did carry it but that they couldn’t find the approval. I offered to email them the approval I was sent. I was told that they would override whatever was out there and approve the medication.

I had 3 different doctors recommend an MRI, it was declined by AETNA EVERY SINGLE TIME. I had it done anyway, because I care about a Dr.'s recommendation. They clearly don't. BASED ON MRI FINDINGS, a CT Scan was recommended, which obviously was declined. I had to file an appeal in order to get it approved by AETNA. Total waste of time over and over again. I have been requested approval for the MRI since April 2022, we are in July, 3 months later, Stella L. is not working today... Or any other unacceptable excuse.

This is the worst plan for providers to become credentialed. I have credentialed 6 providers over the last year and only 2 have just been approved. Credentialing is easy but waiting on Aetna is the worst. They credential fast. You see the patients then they won't pay the provider stating they are waiting on the contracting specialist to add them to the roster. So if you plan on being a provider expect a waiting period to get paid way over 1 year then they stale date your claims.

Tried and failed 3 times to get a simple cardiac stress test authorized. I had to cancel THREE appointments. They will blame their vendor Evercore, but I contracted with Aetna, not Evercore! The worst! Would not recommend to my worst enemy!

I switched to Aetna CVS Health Insurance in Jan 2022 and the benefits summary appeared to be pretty good. What I didn't realize is that they want to decide what medications I take even at the objections of my doctors. We have spent 2 months requesting prior authorizations, appealing, appealing again and all they say is NO, try an alternative that we (insurance company) likes better. How can an insurance company be allowed to decide what medicines are right for me? This is completely backwards.

I had Aetna 2 years in a row. I was promised my monthly free med when I signed up, it turned out I had to pay $100/month copay, I appealed but it was useless, the powers that be insisted I keep paying the $100/month copay. I had to pay $250 copay for an ER visit, $5/ month copay for a monthly test, $140/month copay for a sleeping pill, $600.00 copay for a Cardiovascular drug performed during a stress test, that's a lot of money when you're on SS.

Aetna denied me getting a crown on a broken front tooth even though I have 50% coverage in and out of network! I pay them $140 a week! Why?! Just a bunch of thieves! Run as far away from this company as you can!

A known lab diagnostic test that Aetna “claims” is experimental. When there have been MULTIPLE proven claims it’s importantance to diagnose issues. Aetna denied to pay for it. I knew when my company switched from BCBS to Aetna it would not be good…proven so.

P.O.A for my mother who has dementia. They can't seem to find the P.O.A document that I have sent over several times and which came with the application. Now they've hired people offshore, a no-no in my book when it comes to sensitive information. Bye-bye Aetna.

Aetna Health "Insurance" reps chat up your HR department with promises of lower group insurance costs with no loss of benefits to the employees but instead employees are required to not only pay sizeable shares of premiums, but high deductibles, and co-pays which effectively add up to no one earning under $68,000 per year can afford even an annual physical with tests. A real life example of this nightmare is when the employer offered a "complimentary" on sight dermatology screening.

On 11/11/2021, my neurologist conducted EMG, MRI and wanted a Myelogram done. I have a severe condition that affects bladder retention, my ability to walk and my balance. I had difficulty getting a specialist referral PCP, Memorial Hermann Southwest told me the Radiologist had to approve it that not true. Due to having to escalate simple issue, I decided to switch plans for 2022. I feel the issues are directly dictated by Aetna because they do want to pay for service when member changed their plan. Aetna gave the appearance of assisting and basically is dragging out the process until 2022 plan begins. It is scary to think that Aetna would place a member’s health in jeopardy to save money. Also, penalizing the member for changing plan.

I proceeded to go to an out of network dentist Aetna told me to pay the hundred dollars and I will get reimbursed. Three months later they finally approve $100 and they send it to the provider instead of sending it to the customer. No agent has any idea what you’re talking about. They tell you they taking care of it and they just hang up. I got disconnected four times because they did not know how to solve my problem so they just hung up on me. This is the worst insurance company I’ve ever dealt with. Good Luck If your place of employment offers this insurance.

After my first year of service with Aetna I would never register with them again. Their copays and deductibles are terrible. They are a reflection of how broken the US insurance system is. It's pretty much not worth having insurance through them at all, you may as well just bankroll savings or switch providers instead of giving funds to these frauds.

After turning 65 a few years ago, I had to find supplemental insurance. I started with Humana. Being a low income person, most of the services were low costs and low co-pay. My 2 medicines were also free. I talked to someone who said my rates would stay the same for a year. In one word...LIE. After 3 months, my rates went up nearly $100 more a month, and I was STUCK until Nov, due to Obamacare. Then, at the same time, my cholesterol med changed from zero to $8. I called and was told that medicine was reclassified to a higher level. I protested and said it was not nice that I have to pay $8, while their CEO was making $220 million, and asked them to remove that med. I found a website that charged me $10 for the same med, but was glad to change. BOTTOM LINE: In Nov, I dropped inHumana, and tried Aetna. This will be my 4th year (they now added vision coverage), and I am satisfied. My 2 meds (now 3) are still free. Thank you Aetna.

They take forever to process claims/reimbursements. They will deny your claim for the smallest of details. Deductibles are extremely high. HSA spending is not worth it. Customer service is friendly but often times not helpful. It’s so bad that I’m actually considering changing jobs because the health insurance is so bad.

I am a current customer and I am beyond frustrated with this insurance company. I always have to call customer service to get my medicine approved even though my doctor said it is medically necessary for me to have the medicine. Aetna also took 10 days to preauthorize my MRI & now they are denying my surgery stating it's not necessary. Currently I can't sit for more than 10 mins, I can't walk far and I have a Limp, and I can't sleep through the night because my back and knee is hurting that bad. I guess this insurance company would rather I become crippled and have to pay for insurance claims the rest of my life instead of approving my back surgery. What ever happened to Quality of Life?

Aetna Insurance has been a great help to me. I have never had any kind of problem with the insurance or anyone that I have had to speak with. They have been extremely helpful in answering all my questions, even the dumb ones. They helped me understand how everything will be going for me after being diagnosed with lung cancer. Caring, understanding and helpful. Can't get any better than that.

I have 3 denied claims that should be denied. 1. Before I started order my 1st breast pump with Aetna, I called Aetna to check if it will be covered. The Rep said yes. All I need to do was login to my account and follow the steps and order the pump through Aetna partnership. It was in April 2021. I got the pump but my claim shows "denied". I've been calling so far 5 times and the Rep kept saying it should be covered and they said will push the document again, asked me to wait 7-10 days. Still, it shows "denied" until now, which is end of August.

My husband had an accident and was in three hospitals for a total of nine weeks. After our $3000 deductible, everything was covered 100%. This was one less thing for me to worry about while he was recovering and not working.

My wife and I have recently become more physically ill at 79 years of age and so we have filed more claims with Aetna. Aetna has responded quickly and paid for much of the charges by our family physician, our eye doctor, and my urologist. I am very happy with Aetna's providing of these charges.

Excellent customer service experience every time I connect with rep either online or via phone. Additionally, the website is very intuitive. As far as information is concerned that will guide me when I am looking for anything pertaining to my health insurance info or providers.

I started experiencing health issues in February and still haven't been able to get the help I need and it's July. yes, half a year. The amount of "positive reviews" on here feels fabricated. I live in southern California with 4 surrounding cities all within 50 miles of each other... Yet I have to drive 75 miles out of my way. I'm not paying the bottom of the barrel coverage mind you. Personally, I feel it would be worth going to someone that initially sounds more expensive. Like Kaiser the service you get with them is worth what you pay.

I have Aetna QCHP through my wife. For some unknown reason, they terminated my health insurance coverage in February, 2021. It is supposed to run through the end of June 2021. The State of IL tells them I should be insured, but Aetna continues to say I am not insured. I have been on the phone with Aetna, the State of IL Benefits, three times and all three times I have been assured the matter is resolved. After more than 3 weeks it is not resolved. This is very expensive insurance. I would give Aetna a zero out of ten rating. If I was grading Aetna, I would give them an F- or a lower grade if there is one.

Run from this insurance company. They are truly not forthcoming with their reimbursements!! I always thought reasonable and customary prices are the same across the board. Nope!!!! Aetna hires a third party called IData that decides what is reasonable and customary. Their reimbursements for out of network is absolutely the worst!

I have now come to realize that Aetna is an evil company. I started a new job and had to change my health insurance. I picked Aetna, knowing nothing about them. I didn't realize that was a mistake until six months into the job. Suddenly, they stopped refilling one of my prescriptions. I called. They told me that Aetna had suddenly decided to stop paying for prescriptions at any pharmacy in the entire country - except for CVS. (I did not know when I picked Aetna that they were owned by CVS). I was spitting mad. It was a mild inconvenience for me - but the principle of the thing is outrageous. They are unfairly, illegitimately restricting healthcare access. They are doing it in a self-serving, monopolistic way, driving people to use their own pharmacy in order to increase profits at patients' expense. That has me spitting mad.

I’ve had Aetna Better Health of LA for over a year and have never actually got to speak with a human being. I have called every number I can find. They have an absolutely useless recording at the number they give out. The recording will tell you that you DONT need a referral -which is a lie because all health care practitioners tell me Aetna Better health absolutely requires a referral. There’s NO LIST of approved doctors either. You just have to call every doctor In a hundred mile radius and ask if they will take ABH. ABH will not email. They have an obnoxious portal that takes days for a generic useless response from an answering service that will definitely be inaccurate.

In January 2020 I switched from Aetna to another carrier. Aetna didn't cancel my coverage as requested and continued deducting over $300 a month for premium. I thought this was my wife's insurance premium so it was paid. This year we both went to a zero premium Medicare supplement. When we were still billed the $300+ premium in January 2021 Aetna was contacted. They owed us over $4000.00 for premiums we paid in 2020. For 3 months we have had to constantly fight with Aetna to get our money even though they admit it is owed to us. Aetna keeps promising payments were mailed but they never come. They are either unbelievably incompetent or unethical. Either way, we will never choose Aetna insurance again!

We have had a high deductible policy for a few years with them and things were going smooth so long they had to pay nothing! Once, my husband's renowned cardiologists (my husband is a retired cardiologist himself) had him do a CT angio after a positive stress EKG test and angina pectoris, and the bill exceeded the deductible ($6000), they denied the claim and the appeal stating contradictory statements where they acknowledge he is a high risk patient but the procedure is not indicated. So, what is indicated? Well, they don't tell you that. For sure, we will be changing Aetna next year. Hope the big company my husband works for now has better options. Also, will make everyone in our surroundings know about this. Thanks for nothing!

Aetna is simply a trash company. I did my due diligence and spoke to their "fully trained" concierges to make sure acupuncture was covered before starting treatments. I was told (by more than one concierge) that acupuncture was covered – no conditions or caveats were given to the acupuncture coverage. Lo and behold, after 5 or 6 treatments, the claims were denied. I went through all the appeal processes and even lodged a complaint with the Commissioner of Insurance Office. I’ll give Aetna credit, they held firm and denied coverage at every step of the way (it's clear money means more to them than anyone's health or well being). What offends me the most is that Aetna did not take any responsibility for creating the problem.

This is the worst insurance company. You pay a Fortune out of pocket only for them to tell you, not a doctor, that surgeries won’t be covered Medications won’t be covered and they constantly lie about how much of your out-of-pocket max has been met. When it comes to Medications the insurance company decides what Medications are good for you not a medical professional. It is an absolute disgrace.

Bought a $15,000 health insurance policy from Aetna International and was told medicines would be covered. Up until now every single claim has been denied. These people are crooks and their CEO belongs in jail for fraud.

I was told initially that the MRI office I scheduled an appointment with was in system. The earliest appointment was more than a week out and I took it. The day before the appointment that office messaged me to say I had to reschedule because Aetna had not approved it yet. I called Aetna to double check in case there was an error. The automated menu cut off the call every time while I was in the middle of it, punching the correct number to go to next. I finally went to a free wi-fi down the street to go online for contact. The person I got told me there is a 15 day wait on certification! I asked why it was instant for the first referral appointment but now takes 15 days for a second referral appointment! That is horrible customer service and horrible patient care.

Aetna offers a low premium compared to other companies, reliable payment to providers via automatic crossover, and they haven't raised their rates in 3 years. No hassle on my part so I will stick with them.

I had Aetna insurance years ago and had a wonderful experience so was excited when my spouse's employer (HCA Hospitals) offered Aetna coverage. That soon changed! Their website is HORRIBLE and you can't do even basic things online, such as choose find a list of healthcare providers for the HCA plan or choose a PCP. Customer service is horribly unhelpful too. After a few weeks and multiple emails providing directions on how to find the list of PCPs and how to choose the PCP online, they finally admitted that all of the information they had given me was inaccurate and that you couldn't do either in an online account! It took weeks of frustration and inaccurate information to arrive at that point though. I'll be moving to a different insurance provider and dropping this coverage as soon as it's possible and would warn anyone considering Aetna HCA insurance to be very careful about signing up for it. They promise a lot and then don't deliver.

I have tried several Medicare supplements but have found Aetna is the BEST. No cost to me at all and the coverage is well above what I have expected. They have several different plans to choose from, in the last 2 years I have been very impressed.

I've had a good experience with Aetna, It may not cover everything but their customer service is excellent. You can always get through to them. They call regularly to see how you're doing or if you need help.

Competitive rates, widely accepted by physicians and hospitals, low co-pays, fast claim approval, dental reimbursement, easy to use website, broad drug coverage, free at home medical review and assessment.

I have a great agent. Best benefits overall offered in my area. Other plans lacking in the extra coverage that is covered in my Aetna plan such as dental and eye care. I really need those options benefits.

Been online with four different numbers under Aetna's customer service - transferred around now for over 60 minutes and still waiting. Miserable. I was waiting to change a plan within their new Silver Script program but am now waiting to cancel altogether. Uggghhh.

Arguably the worse heath insurance in the US. My company signed with Aetna for a supplemental Medicare. What a mess. I got my yearly monogram when I could, as it turns out 3 days before I was eligible. Now I was lucky to get an appointment with this entire pandemic crazy going on. I explained this to Aetna, and appealed and still got rejected. Now I have to pay out of pocket 700 dollars. It seems that the yearly mammogram has to be on the exact same day you got one last year. So in 2021 my due date is a Saturday, so I am out of luck as the imaging centers are closed. These fools would pay hundreds of thousands to treat Breast cancer but are too cheap to pay for a mammogram 3 days early. A company clearly run by idiots.

Aetna customer service is good but their rates are high & we don't use services much because of copay costs. We liked the old HMO that covered everything. The dental coverage is poor as they choose the lowest quality dental providers for us to choose & we might as well pay out of pocket for one we like. We have put off going for that reason.

Not bad but not perfect. They all have to work on taking care of their members. Without making them jump through hoops just to be able to ???? a doctor. And make easier for customers to reach someone whenever they have a question.

It was the lowest premium price based on cost and deduction and coverage among insurances but still very expensive to pay and spend medical costs even with non-pre-existing conditions. Very disappointed and almost useless.

For the most part, I am privileged to have an employer sponsored health insurance that meets the needs of my family. If I were to purchase health insurance through the market place it would cost me upwards of $1K. I also don't require any referrals and Aetna has a good network of participating doctors whom I can see whenever I need their service.

Diversity in Doctors is lacking. Wanted to find a particular dermatologist to address some skin troubles, preferred a person of color as they could related more specifically to my problem. When asked, they said they could not help.

It's a standard US health policy. Costs about $20 a week and pretty much gets you in the hospital door. After that you're on your own. But you need it otherwise most hospitals will let you bleed out on their sidewalk. I've experienced this personally so I know the cost of not having even poor health insurance.

Aetna coverage is moderately comprehensive and payments are made to health care providers in a fairly expeditious manner. Co-pays are comparable to other health insurance companies and prescription coverage is great.

I have Aetna Max Choice Gold with a high deductible. The good thing is that Aetna is accepted most places. But all prescriptions and non-preventive office visits are subject to deductible which means you pay the whole contracted price of the prescription or visit instead of a copay or %. Another downside is that they seem a little disorganized on the back end at times. Overall decent insurance if you have the $ to pay your deductible.

I’m not sure if I’m doing the right thing by paying for Aetna with my Medicare coverage. From my teaching pension, I was getting BCBSM, and I see a big difference in the amount of copays, but I don’t know whether or not it’s worth it. I do have a lot of health issues which stemmed from breast implants, but I had them removed, and still have some issues leftover.

My company switched from Blue Cross/Blue Shield and I believe we had I feel like we had better health insurance. We now have Aetna and prices are higher in copays and medicines they cover. As for doctor visits the network is broader than I thought so that is a plus. Everyone seems to take Aetna including the doctors I previously seen.

I had to cancel because my family and I had a family plan and paid around $9,000.00 with vey high deductible; I had a procedure which I was told that the insurance would cover, and till this day I still receiving bills that Aetna did not pay. And I am sorry to say but all insurance companies plans are way too expensive, impossible for middle income families to obtain.

The coverage has been decent. Customer service is another story. They don't know what they are talking about. I called in to find out the price of a drug that was not a formulary drug. I was quoted a price and as a result decided to use GoodRX. When I went to pick up the drug at the pharmacy the pharmacist informed me that my insurance price actually was cheaper than GoodRX. That was not what I had been told, this price was about $40 cheaper than what I was quoted. My opinion on this is quite simple. If you are the person on the phone quoting drug prices for a particular insurance plan GET YOUR INFORMATION RIGHT!!! Some of us out here are counting on that information. I was NOT HAPPY with my experience.

I have never had any issues with my Health Insurance. Whenever I needed to find a physician or specialist the customer service representative are always helpful. I have never had any Bills left over from my procedures.

I had an issue with a referral I had gotten to see a Ortho Doctor about surgery. When I called the Doctor's office, they said it would be out of network. I contacted Aetna and the rep, called the Doctor's office and corrected the issue.

Terrible customer service. When the president of the United States said no one can be dropped for health insurance during Covid Aetna decided that didn't apply to them and dropped me April 8 2020 for missing 1 payment. I didn't realize I had missed a payment. I offered to pay and they said, "No you're dropped." And then refunded my prior month.

Aetna has a lot of pros & cons. They have a dental plan that pays back up to $1700, reimbursement for dentist. The specialist fee was only $20, with no copay for seeing your PCP. I didn’t like paying $200 for a MRI, but I needed it. Next year it’s supposed to be no charge a MRI. They also pay up to $100 for eyeglasses, and you have the option to join a gym and take advantage of the Silver Sneakers program. Not sure if I will keep them for next year, I need to see what’s being offered.

I have been with Aetna Complete Care for over a year. It has saved my life and has kept me out of assisted living so I can live at home. With this plan I have home delivered meals, a home health nurse and aid. The plan also includes a care manager with Aetna that helps me with anything I need. I suffered 3 mini strokes in the past 5 years and had a right knee replacement back in February of this year. I was able to get in home therapy at home instead of going to the nursing facility. I am very happy with the services Aetna has and is providing me with my long term care.

If I could give them no stars I would. They are trash, I have had both Optima and Aetna in Virginia, and my personal opinion, optima is way better. You have to jump through too many loop holes just to get a prescription that requires preauthorization with aetna. And you can't even speak to the department that does the preauthorization.

I have been a member with Aetna for about a year. I am completely satisfied with their health care coverage. Just a shoutout to Aetna. I just received a free box with many items like toothpaste/toothbrush/floss, hand sanitizer, bandages, and many other items. This tells me a lot about Aetna. They care about their clients in this difficult time. Thank you for your kindness.

Aetna Health Insurance is trash rate insurance. They could never compare with the UPMC plan I had prior to this. Do not sign up for this insurance unless it is crammed down your throat like it was in my case. If given the choice I would never have chosen such a terrible health insurance plan. You will end up paying more out of pocket expense with this health insurance.

If you have a choice, don't choose Aetna. Aetna declined chiropractic care previously approved by Highmark for years. I am looking into the open market for insurance since it will be cheaper than what I self pay with Aetna.

Aetna imposes a lot of limitations on providers and provides with poor reimbursement. This is affecting our ability to provide quality care. In addition to this their customer service is outsourced overseas and of very poor quality. They are presenting with significant language barrier which is making communication very, very difficult.

I switched to Aetna last year from my husband’s insurance plan and this is hands down one of the worst financial decisions I have ever made. After paying thousands in premiums, I pay hundreds in out of pocket expenses for every diagnostic test that my Primary Care Physician orders. I have to spend hours on a phone call with them and then they’ll accept that only some of the claims were denied in error. I cannot wait to switch back to a better insurance plan. If you have a choice, do not go with Aetna.

THIS IS THE WORST!!! HEALTH INSURANCE COMPANY I'VE EVER HAD. Had an xray done of knees even though I was only having discomfort with one. The provider at William B. Hospital in Ely, NV insisted I do both. I denied wanting an xray 3 times! Being a provider myself I knew it wouldn't show soft tissue problems and was told by provider the cost of xray is minimal to patients with insurance. Well now I have a bill for $425.70 because Aetna only paid $47.30 of it. What's the sense in having insurance! Run from this company.

I have had nothing but the worst experience with Aetna. From issues when signing up through my employer to claims being denied (for no reason AT ALL), total lack of customer service and delays in processing even after calling and trying to get claims addressed. My daughter was born with a health condition, and never once did we ever have issues with other insurance companies, no claims were ever denied, I was actually assigned a nurse case manager with my other insurance. This isn't even an option with Aetna, I asked. I am exhausted and disappointed by the pathetic service, meanwhile they make hand over fist and their customers pay the price.