Aetna Health Insurance Reviews

Terrible that an insurance company will try not to pay for a service that is needed to help me live my day to day life. I can’t believe insurance companies just sit and calculate money expense and let people suffer. All these smiling faces in their promotions and pictures are lies. Every time I call, nobody can help people, just send people in a circle and are incompetent. While the insurance coverage part goes back and forth ruining my daily plan by making me wait all day for something to be denied. I work to pay for an insurance that hopes I just give them money for free and never use them. My next billing cycle at Amazon I am switching providers 100%.

Aetna has a major failing. They do not have an accurate list of Providers serving their network. In fact, they do not even know who is in their network. Talk to 2 people and get 3 different answers. Be very careful. Their So-called licensed insurance agent either lie to get you in the Plan or are really ignorant about the plan. I called Aetna to join not some phone-soliciting scam and that was the case. Aetna is very good however in coverage. If you need it they will cover it.

I have stage 4 brain cancer and malignant melanoma. Aetna better health of Oklahoma are depriving me of my mental health meds. I've been on my mental health meds for 10 years and aetna decided I don't need them and cut me off cold turkey. They didn't even wean me off of my mental health meds. Aetna does not care about mental health. That's why they have 1 star review!

We have been VERY pleased with the coverage and the customer service with our Aetna Medicare Advantage plan. We incurred some MAJOR health expenses and our coverage was exceptional! Definitely would recommend Aetna plans to anyone.

The very worst. Physician list? Hilarious, not one of the doctors that I was referred to accepted Aetna. Not one. Had to call back, "Oh we're sorry that was your experience!" Like telemarketing calls? Several times a week. Unstoppable. Opened a "grievance", that resulted in nothing but disassembling. They hire a telemarketing company! It's out of their hands! Call their help number? Got time? Because they are busy. After waiting too long, some poor representative will listen even though there's very little they can do to help. But your call is very important! Just a horrible experience.

Terrible customer service, most of the agents in Spanish are extremely incompetent and never understand or know what you are talking about or what your needs or requests are... They speak with a lot of laziness and most of them are of Colombian origin. I have been struggling with an ambulance bill and between the inept agents and the situation as it has been extremely difficult. Of all those who have attended me by phone, only one has managed to help me a little.

I switched over to this insurance plan and trying to get my ID number is a nightmare. I've had to cancel appointments because I don't have my ID card or ID number, I talked with customer service and they are not allowed to give me my ID number. I have to wait until I get it in the mail which it can take 10 days to get it. Not very happy at all.

The absolute worst customer care and back office systems. Their customer care center is ineffective and unable to drive resolution no matter what the issue is. The feedback of "Yes this is a known issue on our end and we'll get back to you in 3-5 business days" summarized their poor overall "support".

Terrible corrupt company just like the rest. I am a chiropractor and Aetna set the fee for a patient visit at $21 dollars. 18 years ago when I was licensed!!! Pathetic. They have never given me a nickel raise since then. But guess what? All your premiums go up, payrolls within the company go up, their employee benefits go up.... End result? Deeper CEO pockets and investors. They don't care about anybody but profits. They're in bed with drug companies, the AMA, the politicians. Just like the rest. Stay away. They worst of the worst.

The customer service representatives are polite but are never helpful in resolving the issues I've called about. All they do is read the explanation of benefits but I can do that myself. I waste time every time I call them and then have no information to advocate for myself when I call the doctor's office regarding my bills. I wish I could afford a better health plan -- they are awful.

Aetna has problems. Problems with communication and keeping track of their business. Problems giving pre-approval within THEIR time window. They make bring very sick even more stressful. With an almost 7% rate of saying NO to what your doctor says you need, they should be ashamed of themselves. Paying for my own doctor ordered PET scan is going to cost me a lot of money I do not have.

I chose Aetna for my Medicaid coverage because they seem to claim emphasis on Diabetes patients. They had a fair Medicaid vision package offering too. I'm a 20 year long Type 1 Diabetic. After my first decade of uncontrolled T1D, I developed Gastroparesis (an idiopathic intestinal paralysis) which has completely ruined my life since the late summer of 2013.

If I could give negative stars I would. I work in a busy medical office and it is a nightmare having to deal with Aetna every time I need to get a prior authorization for a medication or a procedure. The average phone call length to check status of these are at least one hour. I am ALWAYS transferred multiple times to wrong departments. Just when you think you have someone knowledgeable that is going to help you, you are sent to wrong department. I have requested to speak with a manager on multiple occasions and it is over an hour on hold to speak to them and nothing has ever ben solved or fixed from this process. I have advised many patients to change insurance plans during open enrollment as these guys are just awful to deal with.

I had AETNA and when we signed up in December of 2023 they offered things and then TOOK THEM back like the Aetna PAYFLEX card, they also wellness things. I'm now going to file a lawsuit against Aetna. Please take time and look at the reviews on Aetna. Then look at other plans and be careful with the companies that try to help you sign up, they might be part of the INSURANCE Companies them self. Please ASK Them if they are in any part of the INSURANCE Companies. You might be SURPRISED.

I would put negative stars if I could! I was looking for a new insurance for my special needs child. At first the person I spoke with was very knowledgeable and nice then he transferred me to the one to do the processes and he was nice up until I said I just want insurance for my child and not myself. I was willing to pay the price if it covers my child’s needs and this man didn’t even give me that option. He changed his tone and attitude real fast when I said I just want insurance for my daughter not myself. I’ve never been so disrespected and humiliated. I will never go through Aetna and I will advise everyone to go elsewhere. Unacceptable.

I had no other options through the market place for our area other than HMO plans. Not a problem because our doctors are very helpful and give us any referral we might need. From day one, it was one denial after another, then it was, "Well your PCP isn't in our network" even though their website said they were. Then it was, "Oh he's a resident so it must be a non resident doctor." Then after that was sorted, we didn't get the right information. "You will have to appeal." Over and over and over for things that should never have an issue being covered. We've spent more time on the phone with Aetna than we have with friends and family and got nowhere fast. They outsource their call centers and they must teach the reps to just be agreeable and tell people to appeal the decisions on everything. I have never been more disappointed with an insurance carrier in my life! The stress and frustration is not joke!

Worst and most frustrating insurance that I have ever had. I went with this insurance because it had a $3,000 hearing aid coverage. Turns out, the hearing aids available under the $3000 are a $700 hearing aid, even from the manufacturer, that Aetna priced at $2,600. Total fraud and deception. False advertising. Every single step of this insurance has been a nightmare. I had a persuader this plan that was covered 100% two months ago, now not covered at all. It took 48 minutes and 8 seconds of my time being passed to three different representatives and having to repeat every detail to each representative. I have major anxiety after each interaction because it usually takes hours of my life. And I don't have anxiety!! This is the most fraudulent insurance I have ever had. Absolutely horrible.

I have worked for the state of FL since 2005. The state offered AvMed since 2008 until they changed to Aetna in January 2024. I never had an issue with Avmed in all the years I had it. Aetna has been a different story. My neuro ophthalmologist ordered some blood test to rule out a serious neurological condition and Aetna deemed it experimental and did not pay Quest leaving with a bill of $2,200.00. My doctor sent all sorts of documentation to demonstrate medical necessity and we submitted the appeal. This is a process that takes a long time. Nonetheless, they had made the decision to deny it again but did not inform me. I would have not found out of their decision and I did not call. In the meantime my credit it's been affected because I have not pay my medical bill. I would suggest to get a different insurance if you have the choice.

Denies claims that should be covered by your plan - I have checked whether my provider will be covered multiple times and been denied claims after checking coverage through their website and by phone. Often these are really basic procedures like a dental checkup, not sure how I'd afford health care if something serious ever happened and Aetna was my insurer.

If I could give 0/0 stars I would do so. They require a "pre-authorization" to every single doctor aside from you PCP. Then, when your PCP sends in the request, Aetna just lets it sit there. If they are missing something or do not have what they consider the right "code" they make no attempt to solve the problem. They do not contact their customers or the PCP who requested the pre-authorization, but rather they do nothing at all. I pay for insurance every month, only to be repeatedly denied the care I need because Aetna simply does not care and is unwilling to do their job as my health advocate.

Absolutely garbage. Aetna continues to deny health care claims for the car crash we suffered almost a year ago. This despite providing them liable party and insurance exhaustion letter information. My wife and daughter are in pain and need treatment. Is this the way you treat human beings that pay you for service? Avoid them at all costs because they will find a way to squirm out of paying. One person says one thing, then the next will say another. Zero accountability. They have no care for the individuals that they service.

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

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

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

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

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

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

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

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

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

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

Insurance companies should not be allowed to decline coverage for surgery recommended by a patient's doctor. It is determined to the patient’s physical, mental and emotional well-being! Finding out the week before surgery, it has been declined when you have waited a year and jumped through all the necessary hoops is horrible. This should not be allowed.

Aetna has cost me a lot of money out my pocket, my son plays sports and over the course of 1 year he hurt both of his knees on 2 separate occasions and each time Aetna refused to pay for MRI in which I had to pay out of my pocket and when asked the reason why I was told 2 entirely different reasons. I am a single parent and this was very very unfortunate. My son health is very important to me and the fact that they refused to pay for mri just blew my mind. It’s always complications when dealing with this company. As soon as open enrollment start I will be switching over to a different carrier. I am beyond pissed with Aetna. If you know how expensive an mri is then you know my pain.

Keeps denying coverage for an MRI on right shoulder. Customer service yells at you when you call asking for questions. Wants me to do an x-ray first even though it won't show any soft tissue damage. I had a partial tear shown on my previous MRI but they want me to do an x-ray for some reasons.

AETNA! What a horrible insurance. All CS does is trying to get you off the phone. I still have no solution to my issue. I retired early "Yeah". I signed up for private insurance with Aetna. I choose Aetna as this was my health insurance with my previous employer, I retired with. I thought this way, I will have no issues with Meds or my doctors. 2 months in, with my expensive policy about $ 1000 a month, and I have no meds (diabetic). I called again today to find out the Plan that Aetna has for my meds. No Plan. NO MEDS for me. NOW what???? I will continue writing reviews everywhere until I get an answer from Aetna.

I REALLY need to rant. This is going to make me explode with me throwing things and I really don't want to. Well my husband got $188 from UHC for over the counter products and able to pay bills and such. Well we went to an AR Care last that does the "switching people from insurance to insurance". She told my husband that the AETNA would be his best choice. He would FOR SURE get the $190 a month for OTC products and for bills and a big one GAS. Well so when he got switched over to AETNA he was told he would only get $83 out of the $190 because that $190 is on an advanced plan. Which that's what he was getting from UHC. My husband is on disability and for a very VERY good reason. He wouldn't be able to work any job. NOT EVEN sitting at a telemarketing company. (We've both tried.)

These people told my wife, who is disabled that her payments to the doctors would be nothing, come to find out she was paying nothing with Blue Cross Blue Shield, and now twice a month she has to pay $40 to one of her doctors. Do not believe their sales pitch they'll tell anything to get you to buy it. Buyer beware.

I am very unhappy with you guys, you took 2 payments out at once. I wasn’t late and was even told it was your mistake. I live paycheck to paycheck and I want my money put back in my account asap. I was told it will take 21 business days to get my money back on your mistake and was also told the high up would call me before the end of the day, it didn’t happen. I need my overpayment back, you made me bounce a check over this. I’m fighting throat cancer and certainly don’t need this stress. If I have to wait 21 business days my next payment will be due, come on, please make this right. I didn’t even get the call I was promised.

Worst insurance ever. Very few medications do they cover. It's really a waste of time to contact. You get zero answers. If you use CVS along with them you will just be left running around in a circle. No one will give you answers and you will leave or hang up feeling more confused than when you called.

Under no circumstances should anyone even think about using this company. Customer Service, Prescription Pans and overall Management of this company are absolutely atrocious!! RUN AWAY. AND NEVER LOOK BACK....MUCH BETTER COMPANIES AND PLANS AVAILABLE...

I have been trying to get them to approve a very much needed back surgery and they keep denying the claim. They have received all info requested and they are still denying. If I knew how bad they were I would not have elected them as my Insurance company. I am definitely dropping them. Please do not waste your time in choosing them as your insurance company. I'd give zero stars if that was an option.

Aetna CVS Health HMO - a terrible choice. I got guidance from senior services in Charlottesville, but turned out very poorly and I cannot wait to switch. CVS here has been terrible for years, so I should have known to avoid this company. The referral process puts me at odds with my doctors - Aetna says doctor should provide a referral to a specialist just upon my request, and if they refuse I should tell the doctor I am filing a complaint against them. My doctor says I need to be seen in order to make a referral so they can send it with their notes, which is their professional medical practice.

Terrible customer service, my daughter's primary care was not available, the doctor is part of Pediatric Associates and we were offered that a different pediatrician to see my daughter. I checked that the doctor was in AETNA network so we saw no problem, it has been three months and AETNA says I have to pay the full invoice and it was 691 Dollars!

My company signed on its employees. I personally have 2 prescriptions Switched to Aetna. Now they play doctor and start changing rules. My inhaler they want to switch to something else and told me what pharmacy I had to use. My B P. Script I went to pick up I was paying 11 $ For. My doctor sent a script to fill as prescribed. Pharmacy said 618$. Ins co won't pay for anything but generic. I’ve tried these. They have side effects. AETNA. Please send me your med degree docs or quit playing doctor. We pay 10k a month. Bye. If anyone reads this run.

Been dealing with repeated denials for ct scans. The first was already approved then they denied it the day after it was done. Advised doctor should have just done a biopsy instead if insuring it was needed with the ct. Had a pulmonary embolism and the blood thinners I'm on caused a hematoma the size of a softball on my side. Doctor wants a ct to see if the bleeding has ceased. Insurance denied the ct but approved the iv needed for the ct? What is wrong with these people? Most likely have to go into the ER now and they will have cost themselves thousands more. Complete and total idiocy.

I will never work for an employer that has Aetna as their health insurance provider ever again. In-network coverage is awful and I have never spent more on health costs with less support. Have had to change PCP's twice and out of pocket is outrageous.

I would give a ZERO if I could. I had a total knee replacement. March 1 2024. I was forced to use 3 weeks of physical therapy before they would approve the surgery. I really needed that three weeks for after the surgery. My allowed weeks have ran out; they denied my appeal for additional weeks of therapy. 3 months waiting for the denial, called today August 2, Friday, they tell me they have until August 5, Monday, to reply with an answer. OK…and I’m waiting for OPEN ENROLLMENT!

Absolutely horrible. I sprained my wrist extensively, they denied the urgent care visit, the X-ray, the MRI, the ** shot, and this visit with doctor as they weren’t “medically necessary”. My orthopedic would beg to differ. Over $500 a month to be denied for emergencies. Also denied my establish new patient appointment with my new PCP. This is the PPO plan!!!! Absolutely awful, please stay away.

Aetna is an absolute nightmare. We had a health plan that required referrals for specialists. Our primary care physician referred us to an ENT for our daughter's ear infections, and the ENT then installed tubes in her ears. Aetna rejected the claim for the tubes surgery and is trying to charge us for it, stating that the referral from our PCP was for the ENT appointment only and that our PCP needed to make another referral for the surgery.

This has absolutely been the worst health insurance someone could pick for their employees!!!! You talk to one person on the phone and they tell you a med is covered and when your doctor calls it in they say they are not going to cover it. Someone sits at a desk and arbitrarily decides to deny claims so they can save money. You used to think of health insurance as a safety net for when your health took a nose dive, guess again. They are not in business to be your friend. The CEOs want buckets of money so they can get the very best care for them and their families!!!!

It’s less than 48 hours before scheduled for over 3 weeks; surgery and got a call surgery cancelled Aetna won’t approve. Peer to peer done and I don’t understand how the insurance company knows better than my physician and my chief complaint!! Where is the medical school diploma? I injury myself the beginning of June and it’s taken this long to get surgery scheduled. Now after prep done today; I told it’s cancelled due to no approval

Aetna CVS health is the worse insurance ever! I got them through Marketplace after my BcBS almost doubled. They have me get an authorization for everything and even after making sure where I go is in network they deny my claims and say “not in network”. They even denied an xray my primary care sent me for to rule out pneumonia.. and most recently denied a dermatologist visit saying not in network when their website shows them to be. And their customer service is in India.

If I could give Aetna negative stars I would! I was in unbearable pain for almost 2 years with 2 cervical herniated discs. EVERY pain reliever AND procedure had to pre authorized. Each one denied and had to be appealed by my doctor. When they had to do a peer review a general doctor not in their specialty would decide my fate. Every time denying the procedure that was requested by a specialist and authorized a cheaper procedure or medication. I have this insurance through work and they just increased my premium.

Called to find out about a script I got, went to CVS to fill & they told me for this 1oz product it would be $17.00. Tried to use FlexCard, as pharmacy told me to, but it's not for that. So I left. Called to ask why, transferred to 6 people, over an hour on the phone with no answer. They are like union workers there, they all only know 1 thing, 1 can hold the hammer & & a diff one has to hold the nail. 1 person told me I could have pulled out my white Aetna card to make it be $4.50. Another said that it wouldn't have been covered at all. And the other 4 people didn't know why I was transferred to them & transferred me to another wrong department. So thanks for nothing. Over an hour wasted.

DO NOT BUY THIS INSURANCE, TOTAL SCAM!!! BEWARE! They make everything ‘out of network.’ I was paralyzed due to medical error and every surgeon, hospital, rehab, medical equipment within hundreds of miles of my home are ‘out of network.’ The call center in India should be the first clue you are getting scammed! TRASH INSURANCE COMPANY, THEY TAKE TOUR MONEY AND RIP YOU OFF!

Aetna has scammed my senior mother into signing up for a plan she doesn’t need. My mother has major neurocognitive disorder and doesn’t remember signing up for the plan, but they will not accept my power of attorney and will not allow me to cancel the plan. I can wait 30 days for the power of attorney to get into the system by which time it will be too late for me to cancel the policy and continue her current insurance - which is all she needs. Therefore, I will have to find all new providers and start all over again while they profit from my mother’s dementia. I have been told by Medicare that there is a federal investigation ongoing into these insurance scams. Unfortunately, that does not help me in my current situation.

stomach & sides. The surgery was to decompress her spinal cord that was being crushed & reconstruct her whole lower spine as screws & metal rods were protruding from her skin due to a 25-year-old surgery. Prior to her surgery she broke her right Tibia & had surgery 3/1/2024. She was suppose to start PT for that when this surgery was scheduled. I have personally had to call Aetna to beg from their support to get her into PT 3 days after her surgery & they would not approve.

Our family is new to Aetna CVS Health 2024 - I scheduled my family with a new PC. The wait time is 4 months to get into her office. 9 times within this 4-month wait time. I had to call Aetna because the location was listing wrong for this PC (9 Times with reference numbers the info was never corrected). Hours of trying to establish correct information from Aetna to the PC on location and name. Today the day of my appt I call to assure everything has been corrected and it has not been corrected. I'm two hours into phone calls today (again). The representative for Aetna told me he called my PC and spoke to a representative at the office named Cara. I called the office to confirm this and found he lied to me, there was no Cara at their office.

Aetna is a terrible company that makes patient's lives even more difficult on top of their own disabilities and illnesses. I have been denied or upcharged for my preferred insulin brand, told what pharmacies I am allowed to use and denied pain medication prior to a surgery. This company should be ashamed of itself.

I would give them zero or negative stars if that were an option. I can only imagine how many people ended up dying because of Aetna's procedures and incompetent overseas "Customer (un)service. Aetna Health Insurance and their so called "Customer service" employees are THE WORST. I was discharged from a local ER after a kidney stone event. As part of the discharge instructions the hospital processed pain relievers with the local CVS. It got denied since there was no "pre-approval" for the meds. I was in excruciating pain for 27 hours (no sleep, not even a wink because of the pain) and spent hours on the phone with Aetna.

What a terrible dishonest company!! They have denied me everything this year…. Desperately needed surgery, life saving medication and have literally just stolen thousands from our hard working pockets. I have cried in pain because of this company. Just keep in mind…they will deny you everything but take your money greedily.

This insurance company is the worst! I spoke to an associate that told me that I was covered for IVF. I even asked her, "Are you sure that I am covered," and the associate confirmed and now when I am about to do my IVF process and medication I’m not covered by Aetna. I initially contacted Aetna to confirm coverage to make an informed decision and they misinformed me. I’ve started the process. I’ve made my down payment for non-covered services, which came up to about $5000 and now I am left to pay another 5000 to cover my infertility medication for IVF.

If I could give Aetna ZERO STARS, I would! This is the most awful insurance ever!! I have had so much stress trying to get the care I need, through grievances and appeals, it's taken a toll on my body! Even after the Administrative Law Judge stated Aetna had to provide me with the care I needed by locating the necessary specialty care for me, it is now a year and still waiting. I am losing mobility in both arms and legs and Aetna could care less. Their customer service has no idea of their job description. Aetna does not provide contact to supervisors. They stated they called me and sent out letters to me. However, not once have I received a call from them with what I need. The best advice I can give to anyone looking for an insurance provider, stay clear of Aetna! They are beyond terrible and will not treat you or your family with dignity and care!!

Like, many medical insurance companies in the USA, they will try to deny your coverage whenever they think they can get away with it. One example is that my wife has been getting RFIs for her migraines for years now and it's been covered by Aetna until this year. They just classified RFIs for migraines as "experimental" and refuse to cover it this year even though it is the only thing that helps her migraines. This is exactly why we need to go to a single payer system so insurance companies can't dictate and override doctors on what treatment you can get.

This insurance has been a nightmare, got it through Healthcare.gov and I have had constant battles with them over everything. They kept dropping and adding my spouse first, finally got that straight. Had a difficult time finding a primary care doctor as their list is severely outdated. For months I have been battling this insurance to cover prescriptions that they are SUPPOSED TO COVER (the entire reason I chose this insurance to begin with). One of the reasons they kept denying one of his scripts is because he didn't meet 1 criteria, which was she wasn't pregnant or breastfeeding. Yes, I said that correctly. His doctor had to go through a battle to get that straight. And now we keep fighting to get this and 2 other scripts covered, they have been routine maintenance scripts for years but this insurance company thinks it knows better than his own doctor about what he needs.

Quite literally the worst insurance company to exist, and I've been on the free stuff. They're constantly coming up with every reason in the book why they can't cover something till you fight them on it. Over a year after my claims were approved they went back on it claiming I have other insurance - I don't. They just don't want to pay. DON'T USE THEM AT ALL COSTS.

Hospital made a mistake causing uvula necrosis. Doctor insisted we go hospital's ER. They gave antibiotics and a huge bill. Aetna pays their portion. Sees no appeal argument. Kick backs and racketeering.

Updated on 08/06/2024: I’m new switched to Aetna. They promised $300 month in coverage. They wouldn’t give money at first. Finally helping now. They continue to call me and bug me all the time with questions for different co. Perks. I did all the questions already. I’m tired them calling me and calling back for this stuff. They want to sell you all time and keep sending mail. They got me on their plan and still bugging me for more stuff. I don’t want harassed by phone and mail.

Trying to get a hospital or doctor to even accept Aetna in Oregon is a nightmare. Providence dropped them because of their ridiculous costs. I will be dropping them from my Medicare Advantage this year.

Worst Insurance EVER! This company is good at taking your money but when the time comes for serious care procedures are routinely denied. My experience with Aetna has been extremely disappointing thus far. A good example of their incompetency would be the approval of a post-operative procedure with out approving the procedure itself. They have proven themselves too.

I gave 2 stars and that's generous, main thing is covering of claims! THE PROBLEMS are many times you will get turned down when you're positive it's covered, but you end up in a boiler room with people that say I will fix it for you and that is usually nonsense. You have to get someone else on the line and after 2 or 3 you will get someone who knows what you are talking about, I had a problem with a claim sent by message, they say you can't do that but I know you can. Now after many tries they finally figured out I'm right. At this time my wife is going thru the same thing, poor, poor help from foreign people that DON'T know the program, as many are we are searching for a comparable insurance which I have found, Aetna has a good program with few people who know how it works, which renders it USELESS.

I submitted an application to Aetna and payment on the last day of April as I quit a job and lost insurance. I patiently waited for a month for my member ID card to be mailed - it never came. I checked my email before calling, and sure enough, I had missed an email from their billing department, requesting proof of my loss of coverage. Once I replied with the proof, they told me it had been over 30 days (it was 31) so my application had been terminated. They considered the application and account inactive, yet did not refund the first month's payment that had already been processed. The application never indicated that I should expect any additional process via email, and they made no efforts to call or physically mail me, despite having these two other forms of contact info. So I called, and at the end of a lengthy phone call, they assured me that my application was now unblocked and I should be getting my member ID in the mail within a week.

They try to get out of paying for anything expensive, but their premiums are huge! They stuck an insurance henchman, AKA insurance spy, on me to shut down needed services. She offered things I don't need, so I declined. I'd like to have her charged with harassment and assault causing bodily injury because they are trying to leave me injured for life for no reason. This is actuality the second time that Aetna has done something like this!

Aetna refuses to pay for MRI and medication, do not ever use this horrible insurance. THE WORST EVER. WHAT A NIGHTMARE.

I have been with Aetna for 3 years. One year a break, than went back (biggest mistake EVER)! This year was supposed to be better, no, they decided to pair up with Nations Benefits. Nations Benefits is the worst company, look at their reviews, 1 star!! I have been fighting them regarding hearing aids, Aetna will not use any company other than Nations Hearing (an affiliate of Nations Benefits). Every office they referred me to in my area were back alley establishments and they charged more than a reputable hearing aid specialist that was associated with my ENT. The ones recommended were not specialists and had no idea about the ear disease I am suffering from. Now I have the problem of the OTC, which again is handled by Nations Benefits.

I regret ever getting health insurance with this company. From the start it was nothing but confusion. There was a discrepancy on my insurance card that they were impossible at helping with. Switching doctors is next to impossible. The customer service does not know what they are doing and are highly inept. Navigating their website is a nightmare. I am convinced this company is running a scam. I had to question myself "why am I paying for something I CAN'T use?" and decided to MOVE so I could change my insurance. Coveredca + Aetna = disaster. Please be careful with what you sign up for. From my experience Blue Cross is good. Avoid Aetna!

If I could give zero stars I could. I don’t even have this insurance but with a mixup of names my insurance is mixed up with Aetna. I have called seven times and Aetna is no help. They have incorrect information for their customer and are confusing her with me. They do not care about fixing the issue or helping me or their customer. Avoid this insurance at all costs.

My payments keep failing and they never have any idea what's going on when I call. They had no idea today how to even check if their system recorded that I TRIED to pay, even after putting me on hold. They just told me that payments take 1-2 days to process and to call my bank - but they have no record of an attempt to pay, so why would it be processing??? Also, their phone tree is horrible and has no options for regular members. I always get transferred 3+ times because the person who transfers me does not understand my very simple issue.

I know most people only leave reviews when displeased, but I wanted to give thanks and praise for my experience. I have gone through 16 months of medical craziness. Not one specialist visit or prescription has been an issue or denied. I was just prescribed ** by my dermatologist, and Aetna approved me in less than a week, with zero cost to me (approx 21k a shot every 3 months). I start my first injections tomorrow, but I wanted to cry when the injections were approved, no fuss. For the first time, in what feels like forever, I have hope. The VA was horrible to me for years, but Aetna has changed my opinion about Healthcare and insurance. Semper Fi

I am a newly retired and was looking for insurance. Representative told me to give her all the medications I take. She told me they were all covered no problem free of charge because of the extra help that I get with social security. Well guess what... Two of my medications have been denied and the pre-auth denied so the $0 that I was told I was going to pay ended up being $1,190.00. They lied to me. They baited me in and then they switched. As a new 10-day-old customer I'm ready to switch to somebody else that at least be truthful with me so I know what to expect the next time I get meds.

Stage 4 breast cancer and this insurance keeps denying my cat scan, changing insurance, this insurance is terrible. How do you deny someone with stage 4 cancer- this insurance company needs a lawsuit.

I visited my primary care doctor for a routine check-up and was surprised to learn that my insurance was deemed invalid from the start of the year, despite my regular premium payments. Consequently, I was turned away without receiving medical services. Upon contacting Aetna, they confirmed the invalid status of my insurance card since January 1st, even though they acknowledged my consistent payments. The insurance, a CVS Healthcare plan from healthcare.gov for both me and my spouse, was inexplicably closed. The insurance representative initially denied receiving my premium payments, but after I presented evidence of payment, they admitted their error. Nevertheless, they were unable to justify the unannounced cancellation of my account. They accepted my payment for June but refused services and declined my insurance card, offering only a single month's premium refund.

I am a psychologist contracted with Aetna, and my experience with them has been terrible. From the outset, it was clear that their customer service staff are overworked, under-supported by corporate, and inadequately trained and poorly equipped to provide any meaningful assistance. My practice has been plagued by a series of mistakes, costing me a substantial amount of time and money, all of which highlight Aetna's inefficiency and lack of accountability.

Steer clear of Aetna, for the price you pay monthly you should be getting top notch coverage, deductibles are crazy, the coinsurance is ridiculous and they barely cover the price of routine tests not to mention hardly any price coverage for test your doctor wants you to have.

Aetna plans are created so they don't have to pay providers/medical bills. They offer high deductibles and even higher co-insurances to be met before they cover bills. If you have another option run from Aetna. They are bad.

I have been subjected to an unconscionable amount of out-of-pocket expenses, copays that do not count towards my deductible, and what I can only describe as extortionate practices regarding the payment of my wife’s hospital bill.

We use Aetna as my wife's secondary medical insurance. While they are required to follow the Coordination of Benefits rules and laws, they rarely do so. On every prescription that my wife obtained through her Horizon BCBS primary insurance, Aetna has rejected every claim for the copay reimbursement. The first rejection is always that we did not provide the Explanation of Benefits from Horizon. This is always false and they actually return the rejection with the copy of Explanations of Benefits they say they did not receive!

I got my prescription card in January and was dropped for lack of payment after 3 months. The only invoice I ever got, I paid the $15 the day I got it in April. Now I am locked out of insurance until open renewal in fall. I was supposed to be on auto payment but apparently, it take 3 months for that to start. Why would you lock someone out over a $15 payment without contacting them?

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.