Aetna Health Insurance Reviews

I've had Aetna prescription coverage for several years and have no problem with the premium. Last fall I noticed irregularities and contacted them wanting clarification. I hesitate to make these kinds of calls as I realize it will take an hour or more for a minute of conversation but I persevered. I got nowhere with the telephone answering person as they were completely unskilled in their job. I asked for someone with a little more insight to give me a call in order to straighten out the matter. I was assured of the call but never received one.

I have Aetna Better Health MD after losing my job. Nothing is covered. I don't drive and there's one available therapist who takes this insurance within a 20 mile radius. I just used the mobile app to find an obgyn. I got a list of providers, called the clinic for an appointment, and was told they don't take Aetna Better Health MD. Why are they listed on the app? So I called Aetna so I could talk to someone who could help me find an obgyn who takes this insurance. I was given one choice (a male - I would prefer a female) who has horrible reviews on Google, apparently has no website, and appears to be a urologist and not an obgyn. I'm not even going to bother with trying to use this unless some emergency pops up.

Have STD through my employer. The claims person failed to make initial contact. I contacted him. We've spoken 3 or 4 times on the phone and he seemed to get it regarding my treatment. I'm coordinating two healthcare systems and having problems getting my medical records sent. It's stressful coordinating visits and trying to get records sent from two systems. This is the second time my claim was closed due to not receiving records. The last time, the claim was reopened and things were fine. Their workability website is designed so it is the SOLE method of communication. This is a BIG FAIL.

It covers very little - I know Doctors and hospitals cost a lot, but as a temporary employee I spent many years without insurance, however now that I have it through my husband's employer, I find that it covers very little. Annual wellness and mammograms are covered, yet if they find something wrong, it's up to YOU to pay for it. However, my Doctor's office nor the lab told me that I would have to pay. Now I'm stuck with a ton of bills because Aetna firmly stands that yes, I have to pay for all of this. But until you meet your deductible, you cover it.

I had a simple wellness visit over a year ago. My husband's employer is a very large employer and they pay large amounts for our coverage. A simple wellness visit turned into a 13 month nightmare because Aetna refused to cover it. Aetna used every excuse - from claiming I had co-insurance (I haven't had co-insurance for 13 years), to claiming they already paid it (they absolutely didn't). The number of phone calls to Aetna, my husband's HR dept, and the billing dept of my local physician was absolutely ridiculous. I will be filing a formal complaint with the governing board.

Customer Care is in the Philippines, they won't understand U.S. English. I asked them why a reimbursement claim that was approved in early November, and was sent for final processing never arrived by late December. I contacted them to ask where the claim is; of course, they respond, "You sent a claim?" When I asked, I quoted the other rep's email - of course they didn't understand. If you call them on a weekday, chances are that you will encounter a U.S.-based rep. I've had to complain too many times this year about the horrible, overseas customer care, and I'll switch plans next year. My complaints went to the BBB, and they responded, mostly, with a lackey reason they screwed up.

This is the biggest scam happening in our country. They deny services to paying customers without a medical review. I have platinum insurance, costing my employer +$2,500 per month. Yet, I have had claims for therapies, imaging and specialists denied over and over. Thank God I know how to advocate for myself and go through with calling, appealing etc. I worry about those who are too sick to fight back, the elderly, or the undereducated who don't know their rights. Who is advocating for them? There needs to be a federal regulatory agency that oversees insurance companies! Aetna is operating death panels, deciding who gets treatment on a whim or, most probably, based on what it will cost them to do the right thing.

The cost is roughly $240.00 monthly, however I pay a whopping $85.00 co-pay at Doctors for visit. A person without insurance pays $90.00. How is it better? The deductible is $6000,00. dollars. Is difficult to find specialty area doctors to take this insurance.

Where do I start... 11/15 I had a bad car accident that caused me to have bulging disc. I've sent police report, MRI bill, etc 3x! It just a never ending vicious circle of ignorance. First they never got the paperwork. Then they didn't get all of them. Then I sent it a 3rd time and the paperwork was too dark on the copies. Well turn the contrast down on the printer technology savvy people! I have an accident, not at fault and clearly the police report says it. So now the paperwork will be "escalated to processing department". You get insurance to be secure when life happens. They probably should hire retired people that have lived life and can understand doing one thing fully at a time and life does stop because of unforeseen events happen.

So, I found out why I was charged twice in the same month. They didn’t tell me that they bill a month in advance. It was November on the 5th and December on the 23rd. I would have never agreed to that. Because of that I lost half of my social security for November. (Bank let it go though not their fault/I didn’t have the money so the charges and overdraft fees cost me dearly.) I tried calling Aetna last Friday but couldn’t get through. Also tried on Monday. I spoke with another Medicare supplemental insurance company and found out you can cancel the supplemental insurance plan anytime (I’m working on doing that now) during the year. An Advantage plan only yearly at open enrollment time. I hope that I helped someone with this information.

My wife and I signed up in 2017 initially for the Aetna Medicare advantage hmo. We wanted to be sure that our primary care physician of 25 years was in the plan. However, after receiving our Aetna ID cards, we noticed a different doctors name. When we called Aetna, we were told that while our doctor was in their network, he was only categorized as a gastroenterologist specialist and could not be our primary care physician. We then were forced to switch our Aetna HMO plan to a PPO plan, as we were already into 2017 and past the Medicare cut off date. Aetna after reviewing our complaint regarding the misinformation we were given about our primary care physician, agreed to switch our plan to a PPO. The cost of the PPO plan was to be approximately $75 per month for each of us.

Aetna/MHBP no longer allows a wife or any dependent to receive their personal information or monies from their insurance company. ALL information regarding dependent's PERSONAL information is mailed directly to the primary holder on the insurance. Aetna has not yet figured out that women have achieved equality in most avenues of life, and at the very least, able to handle their own health details. Discrimination.

Updated on 12/01/2018: So as I wrote previously I’m being charged for both Medicare supplemental insurance plan and Medicare Advantage plan. On the 5th of November 2018, I was charged 240.74 for my supplemental and 20.00 processing fee For supplemental insurance, I have life insurance also 36.00 taken out. I went to pick up my pharmacy prescriptions November 29th and my bank card was declined (I’m on social security/disability). I was confused so when I got home I went to my banking site to find out why my card was declined. Aetna had taken out another 240.74 and 36.00 life insurance on November 23rd.

I am a licensed psychologist who is appalled at what can only be described as Aetna's relentless effort to find obscure reasons to kick me off the panel, in effect ending treatment for my patients who need it. For some, it is literally a matter of life and death. On two occasions now I have receive an EOB in the mail letting me know that I am no longer in network and that all of the recent claims I submitted were denied. This leaves the patient who is already in extreme distress in the difficult position of having to fight with Aetna to have the claims reimbursed. Almost always Aetna is unwilling to reimburse and the client ends up not only needing to pay but also hesitant to continue treatment.

Newly diagnosed adult type 1 diabetic. I didn't have years to prevent or a diet to change because it was developed as part of failing thyroid disease. I don't understand how Aetna could continue to deny and delay approving life threatening need for insulin. I don't have a thyroid and produce no insulin. While Aetna is waiting on paperwork pushing 90 days prescription, I could go into diabetic shock. I'm very upset with the politics of also telling us which drug to use when some generic brands have failed me for years. I want someone to understand that I'm just trying to live longer than 45 years old.

Customer service is horrible. They don’t know why they didn’t cover my bill. They have to figure out and explain why they didn’t cover it, but they just said “I don’t know why”. I and my husband had the exact same insurance but they only covered my husband’s bill. They didn’t cover mine at all for the same dental office with the same insurance coverage.

I tried to enroll in a part D two months prior to the end of my employer insurance and all seemed well until I got a letter saying I had lied on the application and was terminated. It had no appeal number. I called to find that who had lied was Aetna, changing my start date to Jan 1 and opening up an uninsured period which made me ineligible. I applied again and got NO notice by the specified date (now < 4 weeks prior to the due date). Navigating to the right office proved impossible as no appropriate using Aetna's phone system. I was eventually shunted from one agent to another until I asked to speak to a supervisor on the evening of 11/8/2018.

Front line telephone service calls are answered by people for whom English is a second language. They also don't know anything. I used one of the providers they recommended by phone only to have Aetna later deny payment to that provider. Not only is their information incorrect, their back office is so slow that you can't count on their approval in reasonable time. I've had to reschedule appts because they don't respond to physicians either. I got better drug prices using a discount coupon from GoodRx online-- so much for Aetna's Rx insurance. I also bought medical supplies over the 'net at full price plus shipping cheaper than the 20% co-pay Aetna wanted me to pay. So, unless you want glacially slow response with information you can't trust and prices you can't afford, don't pick Aetna Medicare.

I had to pay $1800 freaking dollars because they wouldn't grant me a one day extension to submit my student health insurance waiver. My father was transitioning to a new job so his new insurance plan kicked in one day after the waiver deadline and they told me I still had to pay the FULL AMOUNT even though I'll never have to use it at all. These people have no compassion and do not care about you at all. How unfair is it to ask someone to pay $1800 for absolutely 0 service. This company and its employees are a joke. Please no one buy insurance from them and let these absolute low-life rot in hell. They are literally stealing money from people with their so called strict guidelines. Go rot in hell you scumbags.

We pay 14,000 in premiums, best plan we could get was with a 6,000 deductible. that's 20,000 out the door before one thing is covered. AND they don't approve tests that are needed - never once have we had tests approved. Our doctor is always fighting with them for tests he orders. Twice for broken elbows, once for chest issue that needed an MRI, once for a dislocated shoulder etc. etc. All tests that we had to pay for out of pocket EVEN if they had approved them - still hadn't met our deductible!! Will NOT renew - We've had enough of this company.

I have recently needed to help three family members get through cancer. At the same time, my spouse of 44 years abanded me. To say the least, things have been overwhelming. While trying to arrange for some STD and FMLA leave, I was put in contact with Aetna Insurance. The level of customer service I have received from Aetna borders on being criminal. While they seem attentive and focused while I am personally speaking to their reps on the phone, their apparent lack of internal communications has frustrated me beyond any polite words.

We have had this insurance for 3 years since living the majority of the year in the Turks and Caicos Islands. We are residents of the US and pay extra for access to US providers since care is limited on the island. The first year they covered routine care and a emergency service. Starting the second year they have denied and not paid for one routine visit, emergency treatment, etc. We have tried for 18 months to figure out why and have spoken endlessly with their account reps with no action. We are changing providers this year since thank goodness we have not had any major health issues but feel absolutely uninsured.

I’ve found that using Medicare Part D through Aetna is a total rip off. Every prescription that I’ve had written was TRIPLE the cost using Aetna insurance than using either Walmart Pharmacy or Good RX which is not insurance. I’m paying 170.00 a month for Medicare and Aetna and they sent me a bill for 121.60 for one RX while The Good RX app cost was 33.00!!! They must think medicare recipients are stupid... We are NOT and what Aetna does is downright criminal!!!

I'm a health care professional and I've been suffering from back problems for over a year plus. I've been through PT, MRI's, injections, and now all I have left is surgery. I have seen a surgeon and they wanted to do a procedure that would help relieve my back pain. Aetna has denied my procedure twice. I have appealed and lost. My doctors have said that surgery is my only option at this point. However it's clear that my doctor's assessments mean nothing when it comes to Aetna. I don't want to be on painkillers for the rest of my life but this is what Aetna is condemning me too. If you have a choice when it comes to choosing your insurance company, NEVER choose Aetna.

Pt. gets Medicare Advantage Plan through Aetna. If Pt has dual MedCare and Medicaid plan and Pt filled his deductible this year with Medicare/MedAid it will not be valid for Aetna. With new insurance for Pt.- Dr. will be victim of cut payments and not be paid second time in the year normal fee for services he rendered - fee they signed to be paid for, with Medicare. Aetna got idea how to use all those murky, uncharted waters in their advantage - to count it as deductible again, in same year, even if Patient filed his deductible for this year and, Dr. already got paid at Medicaid rates that are MUCH LOWER THAN 80% of what is agreed amount that Dr. should be paid by Medicare. So Drs will eat up loss and Aetna will gain - it's not called for nothing ADVANTAGE - I doubt that Medicare had that in mind when they offered those insurances chance to serve as their contractors - not to take advantage of Drs and patients any way they can.

Aetna approved an MRI for my back. They directed me to a provider that I must use in their network. The cost for the MRI: As an AETNA member: $425. With no insurance: $275. As an AETNA member, I'm essentially paying 50% more for the same service. You would think that AETNA would negotiate better rates for its members? I've had 5 different service calls with AETNA customer support. Each time they blame it on the "contract rate", even though it's their team that has negotiated the rate. AETNA is horrible. They're making me spend more money to get the same service if I never had their health insurance.

Only selected one because I HAD to. So a few years back our school district decided to switch to Aetna Health Insurance. BIG MISTAKE. My husband and I (previously) work for the same district. During the first year of paying for Aetna health my husband experienced a back injury that caused a herniated disc. After going through the necessary 6+ weeks of physical therapy his doctor decided he would benefit from an epidermal steroid to help the progression of healing. They never approved it after we tried and the doctors repeatedly tried. So we finally came to a point that we gave up on ever hearing anything.

Prior to my doctor appointment, I called to verify if my visit would to fully covered. They assured me yes, it will be 100% covered. However, they billed me afterward. I called again and they said that how the hospital billed them so I have to call the doctor. Worst experience ever!! Customer service is also very impolite and unprofessional.

I had a medical claim on February 3, 2018 which was filed with Aetna in May. It is now September and they claim they have no paperwork which three telephone calls they did have the information. Now they tell me you cannot email a claim in but must have a claim form which nobody ever told me I needed. They went from inefficiency to outright lying when I have talked to the claim department. If you do not have to get Medicare from Aetna - don't!

Aetna's state employee health plan has zero out of network coverage. None. Unless inside a tiny network area - for us Oklahoma City only - you will pay full costs EVEN IF DR. HOSPITAL, or URGENT CARE says they take your insurance and processes your card. Aetna won't pay anything and you will get the full bill. When 90 miles out of town camping or on an out of state trip with an emergency they have denied all our claims and multiple appeals AFTER hours on the phone saying we were in fact covered. DocFind is not reliable at all. We've been denied several providers that listed as covered in network. Higher premiums than other options; terrible service.

It is a confused and deceptive health plan, badly organized and horrible, this plan has made me sick of so much stress, if you are reading this, I recommend that you do not pay a penny to Aetna because it is losing money.

Whether I get hung up on or transferred from place to place over and over again, I have the same provider relations difficulties time and time again. It is utterly the most exhausting time in my life trying to get things solved with Aetna. As a provider I have still not been able to submit several claims from 3 months ago. I call to get directions and no one sees a single note under my file from any of the previous CS agents. It's like starting over every single time. Today the person transferred me somewhere and instead hung up on me. I cannot understand anyone through their accent. Not being insulting, it's just the truth. I can only deal with this a bit longer.

This company is poorly organized. Physician offices go in and out of network at random, they claim. I have had 3 separate dr offices, including my son's pediatrician go out of network unknown to the dr office. They paid out for the whole year of 2017 to this office, and then told me 3/2018 that the office was out of network since 1/2017.

Meritain Health cant explain their payment reasoning to the consumer. The adjudication takes months to settle a claim, and then it's really not settled to the benefit of the patient. Being a TPA allows these bandits to skirt all clean claim laws in the state I live in. Out of network consideration is below area averages and then the cost is thrust on the patient/consumer.

I was diagnosed with DCIS. This year had surgery 7/19/2018. They didn’t cut me a check until July 25. I was off work since 6/25/2018 prepping for the surgery. Had to take 2 EKG before I qualify for surgery with heart issues and they denied my claim August 19. One month after my surgery and my body haven’t heal enough to even start radiation they claim they need more notes from my doctor when they clearly fill out all forms about my condition. I guess cancer go always after surgery. To them no more treatment is necessary!! This have kept me from healing as fast as I could. I believe because they have stress me out more than the cancer.

I wish there was an option to give them negative 500 stars. Aetna has been an absolute nightmare to deal with. Never in my life have I had problems with a health insurance company until I went on Aetna. I have a few autoimmune diseases and treatment includes monthly infusions. My previous insurance, Medica, (which is wonderful and I highly recommend them) covered it with no problems. Aetna refuses to cover it, says it's not medically necessary, yet these infusions basically keep me alive. Aetna would rather pay for me to be hospitalized on a monthly basis and receive the infusions there than pay for them on an outpatient basis. Where is the logic in that? My provider's office forgot to call for a preauthorization and I got charged several thousand dollars for a service. My policy states that if the provider doesn't call for the preauth, I do not have to pay.

I rarely go to the doctor, but anytime I have if my doctor prescribes me medication that I NEED, tests to be ran, procedures, whatever the case may be... I am denied EVERY. SINGLE. TIME. By Aetna insurance. I have shingles currently, I was denied antivirals today. I had bursitis on my right knee that grew to unusually large grapefruit sized lump, I mean it was huge. I had to carry this around, sometimes waking in excruciating pain because they kept denying for just the MRI to be done, which per their guidelines is required before the surgery.

I had some tests done that my Primary Care Doctor has wanted done to determine the cause of my wheezing while exercising. Aetna paid the claim the first time, but then about 7 months later they charged it back to the provider, who then charged me for the services. For SIX MONTHS I went back and forth between the 2 companies trying to get the COVERED SERVICES PAID, after 6 months the provider threatened to send me to collections, so I had to pay it. What other choice did I have? I can't afford it, I can't have it on my credit, and this is I think how AETNA is making SO MUCH MONEY! THEY CHEAT PEOPLE by charging back covered services and then screw the people caught in the middle between the providers and the customer service reps who are all POWERLESS TO DO ANYTHING. DO NOT USE THIS COMPANY!

I deal with many insurance companies for a living. Aetna is absolutely the worst of the worst. Their modus operandi is deny & then give you the runaround. I would rate them a minus 10. Believe all the negative reviews, stay far away!!

My daughter was in a car accident in Feb, 2018. After going back and forth between the car insurance and Aetna (our health insurance), we were able to settle the 'policy covered' amount with the car insurance. We gave the 'exhaustion letter' to Aetna in the beginning of May. It's been almost 3 months and Aetna has yet to send all the EOB's (explanation of benefit) to the medical providers. The bills are piling up with the additional threat of being sent to collections. Spoke with Aetna multiple times, but keep on giving the runaround.

I have called 10 times today and the system recognizes me and I ask to speak with representative. I hold for about 5 minutes and it goes directly to my comments about the representative who just helped me. I never was connected to a rep. What's up???

I chose this supplement when I turned 65 as a supplement to Medicare. Beware of their PRESCRIPTION stipulations! At 65, they are tinkering with what medications are okay for me to take. Seriously? If I have a written prescription from my physician of 8 years, the insurance company should not require ME or MY PHYSICIAN to jump through hoops to follow their guidelines. I have a prescription that they will only fill for people age 18 and younger. Oh my GOD! If my physician is intelligent enough to know of a use for this medication at my age of 65, why in the world am I paying them $40 for something that was free on my insurance. BEFORE I thought I was so lucky to be on Medicare? I am paying more out of pocket per month than I pay for the Medicare deduction out of my social security check. This is absolutely outrageous and UNHEALTHY for the patient! I'm leaving them ASAP!!!

Don't even bother thinking you are covered by the short-term disability insurance. My doctor took me out of work for a month and Aetna is the worse. They requested the same documents 3 times! My doctor faxed documentation 3 times with fax confirmation proof. I've uploaded the same documents 3 times. When I called in, the customer service reps were so nice...as they did NOTHING to assist me. The last time I spoke to someone for 10 minutes, I finally asked if they were going to actually do anything and they told me I'd have to talk to my case manager.

I have had an extremely negative experience with Aetna. They do not care about the health of their customers at all. I filed claims with them 17 months ago that I still have not received reimbursement for, despite repeated phone calls. Because of this, I have to keep looking up my claims on two different websites, since they recently switched to a new system, which is extremely inconvenient. I have spent dozens of hours on the phone with them with few results. Every time I submit a claim, they tell me they need more and more information from me to process the claim, and then when I do provide that information, they tell me that they didn't receive it. They process my claims out of order and tell me that I haven't submitted claims that I definitely have.

Released my social security number to third party. Aetna contracts with Mirixia a company who profits from Medicare Part D patients. That company then contacts my pharmacy to have this 3rd party monitor my medications. Our social security numbers were stolen in 2014. Now CVS Pharmacy is buying Aetna & both have had massive data breaches. Customer service is a joke.

My aged mother has healthcare insurance with Aetna Senior Products. Her premium is paid automatically with a VISA card provided as a retiree benefit to her from her former employer. The third party administrator (Conexis / Wage Works) was delinquent in distributing new VISA cards to its clients. The card arrived on the 18th of May and the former card expired that month. Since my mother's premium was automatically charged to that card, and the new card did not arrive in time, Aetna placed my mother's insurance policy in a lapsed state. Aetna required me to provide (by surface mail) a new credit card authorization form. This form was mailed from the post office on May 21.

I have their short term disability insurance through work. I’m on a disability leave. They call and send letters constantly that they’ve not received required information. There are confirmed faxes that they have. Also they look at the wrong dates. The earliest possible improvement date was interpreted as a return to work date. The problem is with my ankles and there is no sitting whatsoever and no breaks for the 5-6 hours I work daily. I’d like to see them standing, walking and carrying things with a bad sprain on one ankle and a tendon tear on the other. Aetna is a nightmare to deal with. I feel harrassed by them.

I changed to Aetna because my doctor retired and the new doctor would not accept the insurance I had. The insurance I never had any problems within over 6 years. I should have had a clue that Aetna was not the right choice when the Teacher's Retirement System of which my mother is a part of moved their account from Aetna. Since being insured with Aetna, I have had to change 3 of my medications because of their Tier system. The medications that I had been taking for at least 3 years were all a Tier 4 medicines with a cost of over $100. Then today 6/12/18, my doctor gave a new medication and refilled my inhaler prescription.

My son needed oral surgery, prior to the surgery I contacted Aetna to find out if the sugery would be covered. I spoke with a claims representative, who told me that "yes, the removal of impacted teeth" would be covered. She gave me instructions on how to file the claim, since the oral surgeon would not file the claim with Aetna (this should have been a clue). I submitted the claim after the surgery and several weeks later it was denied.

Doctor sent my Rx here for a 90 day supply. They never sent it because of some sort of error, but also never called me to notify me. Was blocked from filling the Rx because they had already run insurance, even though they never sent the medication. DANGEROUS AND INCOMPETENT.

Ironically, I gave Aetna reps a 5 star rating when I was signing up. They were pleasant, informative and gracious. Unfortunately, the rest of the company doesn't facilitate the same efficiency. I take only a few drugs and was very pleased the first year. The second year, you better hold on to your pants. The 90 day price I paid last year for one drug was $232, the same drug now cost $864. ** they won't even cover any longer. Man, what a difference a year makes. I'm currently searching for a new company.

I have been trying to submit a claim to Aetna for over 6 weeks now. I have spoken to 4 different Aetna claims representatives who have all given me different instructions and different places to fax the claims request and invoices to. Every time I fax the information I receive a confirmation that the fax went through. Then I have to wait at least a week for Aetna to supposedly scan in the claim documents and start the process before I can check on it. Every time I call to check on the progress they say they can't find any information on the claim and I have to re-fax it to a different number. I've asked to speak with managers and they won't transfer me. The whole process is absolutely absurd and it makes it impossible for anyone to be reimbursed.

Denials - Since we have been with Aetna, we have had trouble getting MRIs, prescription, and medical procedures, that I need for my neck and shoulders. Test have been done like EMG with physical therapy, and narcotic medications that are not helping with pain. My wife plans to drop Aetna federal open house.

I retired from ArcelorMittal Steel in Georgetown, SC in 2006, disability. Since that time my medical insurance has gone through several companies. I have Medicare, several companies and now a Medicare/Aetna advantage policy. I have had a Medicare advantage policy for several years now. I have never had so many problems getting claims paid. I am also covered under my wife's medical policy and that company does not receive the proper paperwork from my insurance to pay claims so they are getting denied and I am being held responsible for payment. Now I am being told it is MY responsibility to get the claims information to the insurance company.

I don't really know where to start with our nightmare experience with Aetna Thailand! Your local staff are super unprofessional. Worse sales experience ever, the sales manager **, only wanting to get her commission form sale! Didn't inform us as customer any details in advance! We signed and purchased the insurance package, before we actually receiving the insurance detail package! How ridiculous is this? Never ever buy Aetna in Thailand, find an international company. Don't deal with Thai! Disgusting!

Aetna is denying our insurance claims in order to obtain information that we are not required to provide under our policy. Aetna is unethical and puts their business needs before people. They only will tell us what they cover and what is not covered under the policy so it is difficult to understand what a procedure will cost or be covered. It's difficult to get information such as what our primary care physician is assigned to our family. The Aetna website is down much of the time and when it is up it is so poorly designed that it is not useful...

Had Aetna Medicare POO Plan last year. Cost an additional $180.00 per month and I am still getting bills from providers for what Aetna wouldn't pay. I had to pay not only the deductible and the monthly payment plus what they get from Medicare and I still received bills months later, even for standard blood tests. When I would complain to Aetna customer service they would tell you it will be taken care of and a lot of times they would say, “You don't owe the provider any more money” and they would contact the provider and resolve the issue.

I am pleased to announce that upon contacting the Aetna, Inc. Corporate Office, they were very cordial in solving my problem. They did so promptly, restoring my coverage seamless. No gaps in coverage. Apparently I had no idea my premiums went up, which is true of all insurances. They tend to go up instead of down. Thank you for this site.

Between what my employer pays & what I pay, we're giving Aetna $2,200 a month for health insurance for myself & my wife. We have their "platinum" plan. It's almost impossible to find a doctor or facility in their network. Many providers say they take Aetna but Aetna always comes back with they're out of network. Also, Aetna's Navigator sucks!!! Absolutely the Worst! I have never hated a plan more in my life!!! Buyer beware!

I pay for insurance thru my employment. I'm in good health however recently caught a flu. I get to pay 100% of the Dr. appointment because of a $2000 deductible. It's cheaper not to pay for insurance that does not cover any part of Dr. visit. Shame on you and the government requiring me to spend money for nothing. I assume this was due to Dr., lawyers and politicians needed more of my money. I am waiting for the IRS now.

If I could give Aetna zero stars, I would. Aetna is an absolute disgrace and total waste of me and my employer's money. They have third party boards deliberate whether or not a treatment plan prescribed by your doctor (like a specialist, that you pay more money for) is appropriate or not. They deny simple prescriptions such as high dose ** and require unnecessary x-rays that the doctor knows won't show what they need, exposing you to more radiation, in order for them to approve the tests such as MRIs that the doctor knows will provide proof of a diagnosis.

I took my daughter to a follow-up appointment yesterday with an in-network orthopedic surgeon to review MRI results. It appears she has a small broken screw fragment or metallic debris from a prior intervention that causes her knee to lock and makes it difficult for her to walk. The doctor recommended arthroscopic surgery and scheduled her surgery for tomorrow. Today, I received a call from the surgery center letting me know they were canceling her surgery because they are not in-network. After spending an hour and forty five minutes on the phone with Aetna, I was told the surgery center was in-network. Of course, that made sense - if the provider is in-network, clearly the facility where he performs surgery is in-network. Well, that was not the case. The surgery center informed Aetna that they had canceled their in-network contract in 2010.

My husband was discharged from a skilled nursing facility for rehab on a partial hip replacement. The surgeon did not recommend that he be discharged on the date set by Aetna due to some concerns. The facility filed for an appeal to keep my husband longer based on the surgeon's findings but it was denied by Aetna. My husband was discharged without medical equipment and home health care in place. It took one week to get wound care through home health care. Physical therapy took one week also. In the meantime, muscles atrophy if no PT/OT is administered. It took 3 weeks for occupational therapy to get started. I bought a walker and shower chair on my own. My husband broke the shower chair from a fall. I had the PT and surgeon order one and am still waiting - it has been 3 weeks. I have contacted Medicare but they do not know how to resolve the home health care issues. I guess it is time to seek an attorney.

Health insurance is a scam - Just not worth it for the money. These companies and this one in particular. I meet my deductible right before the end of the year. And then start everything over again so I have to pay more. You should keep the covering the 80%. Especially because I've been giving money to this company for years, without a single claim, that they had to put any money too! The worthless company, worthless healthcare system!

This entire process has been nothing but a nightmare. Countless claims have been opened then closed, opened and closed. They constantly tell me that they are missing documents that they adamantly state have been sent to me. I receive nothing from them except letters telling me that the claim has been denied. Each time I call, I have to start from scratch, providing information that I've given to them over and over again. I can be looking right at my account on my computer screen, showing the documents I've submitted and they will tell me that nothing is showing up. In the meantime, my last medical bill has now been sent to collections in the all the while Aetna reassuring me that they had reopened it. This entire experience has been exhausting and frustrating, all things one does not need while battling a medical condition and trying to recover from surgery. Their policies and practices need to be investigated.

Currently have two elderly patients, 86 and 91 years old, that are in need of acute rehab and skilled nursing placement. Medicare AETNA has denied one patient who has had a stroke and had great rehab potential, but has now declined due to her not getting the intense rehab that was recommended by our hospital physical therapy team. MD did an appeal on behalf of patient and was still denied. The other patient is 91 and needs Skilled Nursing to improve mobility and safety prior to going back to her home environment. The discharge planner has been told it may take up to 72 hours before the medical director approves the transition. The lack of services in timely manner and denials are an ongoing problem.

As a provider, it has been a nightmare trying to get reimbursed for services from Aetna. Each follow up phone call is routed to a different department and each inquiry has gotten different answers. Aetna is delinquent with payments, stalling, then denying previously paid services for no reason. We are a small solo medical massage business now forced into taking legal action to collect over $5000 for unpaid services rendered as an in network provider. No explanation has been provided as to why mid-year coverage for these patients was suddenly was stopped. They are processing my claims as "provider reimbursement" "$0.00" WHY? We now are no longer willing to accept Aetna covered patients into our health care practice.

For anyone considering using Aetna for health insurance, please read this message and avoid Aetna at all costs!! My hope is that this message might help another family avoid all of the suffering we have endured because of Aetna! At the end of November, we received a letter from Aetna, our health insurance provider, that they would no longer cover occupational therapy sessions for our 7 year old son, who has an autism diagnosis. They stated that occupational therapy services for a person with autism should be short-term. (What?? I would hope that a company that provides medical coverage would understand that there is nothing about Autism that is short-term!) My husband, Jay, and I were shocked because our plan allowed for 90 occupational therapy sessions a year, so we couldn’t understand why Aetna would deny this type of service, especially when we were well within our number of allowable visits.

I wish there were 0 star rating. Aetna is my company's choice, and the monthly premium is $1,600 for my family of 2. I only have one daily medicine for HepB. And that is the ONLY drug we need. We are both, thank God, otherwise healthy. It used to cost $30 co-pay per month. Then in 2017, Aetna adjusted the price to 30% co-insurance or $321 per month. The reason, they claimed, is that a generic version is becoming available. Now 15 months later, there is no generic version of that medicine. I look forward to Amazon/JPM/Berkshire and joint-effort for better medical insurance product. Before that, I am lobbying my company to ditch Aetna. A terrible company!

Customer service worst. Customer service people doesn't know what is covered and not. Every time you call for the same concern needs to explain from the beginning and they don't track or maintain and will get different answers. This insurance and customer service is horrible.

My mom is now on Aetna managed Medicare through Boeing and I can certainly say that Aetna is ruthless and worse than Medicare. At 80 years old my mom fell in her assisted living home and was hospitalized and got the flu all in a couple of days. After the hospital she was then transferred to a skilled nursing home and in less than two weeks Aetna managed Medicare is kicking her off the usual 100 days of covered skilled nursing and now my mom will need to pay over $600 per day out of pocket for skilled nursing care. They say she was refusing to get better. When you are recovering from the flu, dehydrated and in pain anyone would refuse to do physical therapy!

MRI denied prior to a Parotid Deep Lobe Tumor Surgery. Why would someone be denied an MRI when there is a tumor present, especially around the head and neck area? My surgeon didn't really know for sure until he went in to remove the tumor that it was a deep lobe tumor. Had I had an MRI he would have been better prepared. Thankfully I had an excellent surgeon!

Aetna did not charge me for Xolair treatment all last year, then, as of January, they levied a $630 fee per shot but only notified me of this after I received 3 of them. When I asked for the reason for the charge, they never got back to me in 10 days as promised. I spent an hour on the phone to finally discover their only explanation was that it was billed correctly at the Medicare Advantage plan rate of 20% of the gross amount in 2017.

Aetna is refusing to pay a claim for a surgery I had in October 2017. I had a hernia with complications and needed surgery to repair it. It is now March and the doctor and I have appealed their decision (that there was no reason to repair a hernia) and they are still stalling on paying the claim. Research has shown me that this is a common abusive tactic on Aetna’s behalf meant to cheat and defraud their customers.

I am having a great deal of difficulty obtaining the medications I need from Aetna, and they do not initiate communication about their decisions. I had already had one ** shot in June, 2017, 6 and was due for another in December. It is a drug for osteoporosis and must be taken every 6 months. My doctors contacted Aetna several times but received no response. In late February, she contacted Aetna again and was told it was refused. I called about it and was told the doctor had never called. A few days later, Blue Cross, my husband's insurer, called and told me they had approved **, but I needed to make a $140 copay. Aetna Specialty Pharmacy would have been free to me, because it is mail order. I called Aetna again, and they said that they had decided to approve my ** after all. Meanwhile, I have received NO ** from either, no communication from either, and it is March, 2018. Aetna is supposed to contact me today. We'll see.

Blew my back out and had to go crawl into the ER on Saturday two weeks ago. ER took xrays, gave me a shot, gave me a prescription, told me to take **, and see my regular doc on Monday. Saw my regular doc on the Monday. She gave me two shots, several more prescriptions, and made a referral to a neurosurgeon. I see the PA at the neurosurgeon on Thursday. He evaluates my condition and schedules me for an MRI at the earliest appointment which is a week and half later on Sunday at 1:30 PM. Just before close of business on the Friday before the MRI appt, I get a telephone call from the MRI scheduler informing me that AETNA has denied coverage for my MRI. I'm sucking it up and am still at work.

Aetna changes categories/tiers for drugs so that even if your initial year with them had reasonable prices, the next year, charges can be double for no good reason. One of my meds - which is a generic - went from being categorized as a generic to being categorized as a tier 2 drug. Nothing changed with the prescription or the drug, Aetna just decided to jack up the price. When I was prescribed another medication that needed to be used ALONG WITH the original medication, they refused coverage since I was already using the "alternative". Over a two day period, it was like being in the twilight zone. My doctor faxed numerous explanations and documentation indicating the necessity of a two-pronged approach, but Aetna's automatons just kept repeating back the same reasons for denial. Leaving Aetna as soon as possible (unfortunately that will be next year) but making sure no one else falls into their trap. Find another insurer!

I have had Aetna since January 2018. I can't believe the medication I have been on for years had small co-pays. With Aetna, they don't cover any of my prescriptions. Further, I receive letters from them saying they only cover generic ones. I have not taken insulin since January. Every time my doctor recommends a product, Aetna says not covered. I contacted Aetna and the customer service was really bad. Aetna would not even discuss options. Aetna kept saying you need to meet the deductible first... That would be 5k.

I have had Aetna for 1 month and a half now. I can't believe the medication I have been on for years had small co-pays. With Aetna, they don't cover any of my prescriptions. Further, I receive letters from them saying they only cover generic ones. I am afraid to go to the doctors' offices with this insurance. The fear they won't cover it. My new answer to the question: Do you have health insurance? I say No; I have Aetna.

I have a severe medical condition and they have denied several of my claims. I pay my monthly premium on time, but they still are refusing to cover me. When I call them, they are extremely rude and won't give me time of day. Stay clear of Aetna. The insurance is for healthy people not those with serious conditions.

I recently had Aetna health insurance through my employer. I was having back pain with pain radiating down the backs of my legs. I was referred to a specialist, he did MRI and xrays, it was determined I needed spinal stabilization surgery. This was in April. Aetna denied approval for this surgery. I was put off work while my doctor and I tried to get Aetna to approve this surgery. Several attempts led to the same answer from Aetna…it's not medically necessary. Me on the other hand can only stand for about 1,1/2- 2 minutes without having to sit to get a little relief from the pain. This went on for 3 1/2 months, all the while Aetna said I had to do physical therapy and pain injections. Which I did do over the course of the summer and Aetna gave my medical provider a hard time about approving my second pain shot and THEY ARE THE ONES THAT WANTED ME TO GET THEM!!!

I have had this insurance for over a number of years with no problems. They are fast, and no problems with paying out claims. My insurance is better than anyone in my family.

Aetna has been helpful with all my calls. They have a comprehensive list of providers in-network, the personnel is very friendly and follow through with any health issues is pretty thorough. They seem better than most other providers in this area. They are what works for me, but my husband has a different insurance provider that better addresses his needs. Also, sometimes the online member site is not so easy to navigate and sometimes they make you jump through hoops to get your medication. You have to reiterate that you have been through a step process, then have your Dr. notify them repeatedly in order to get the same meds you have gotten from them for years. This happens every time you need to renew a prescription.

Pre-authorized for cervical disc replacement in March 2017. I also had my scheduled outpatient lumbar spinal surgery 2 months later. When I was a few days home from the lumbar spine surgery I started getting retroactive denials for the cervical disc replacement surgery that Aetna pre-approved. When I had outpatient knee surgery in September, it was immediately denied. All of these procedures were covered procedures in my plan. My employer provided healthcare is self-insured, Aetna only administers the plan. I lived on the phone from May to December, when both the cervical disc replacement and the knee surgery were finally paid. I filed appeal after appeal with Aetna, complaints with the BBB and the Board of Labor. I am convinced it was the stress from dealing with Aetna's denials caused me to have a relapse of my MS and develop multiple new brain lesions.

My coverage is through Coventry (which is a division of Aetna). I've been a member for 4 years and their service has been awesome. They have covered any claim submitted.

Aetna insurance was a bad experience for my needs. I could not afford to pay the deductible amount of $1,500.00 necessary, so I refused all medical care while under Aetna coverage.

Their drug formulary keeps dropping meds that we have been taking forcing us to change meds. The deductible on the Aetna direct is rather high $3000 and includes the cost of drugs so that at the cost of certain brand drugs or specialty drugs can be very expensive until you meet the deductible. Lastly what they might consider routine on certain exams such as eye exams and mammograms is very limited in scope forcing you to pay out of pocket for something you thought might be covered in full.

They deny necessary claims and jeopardize people health. Just be mindful of the insurance you pick if you want higher prescriptions and less claims paid then go with Aetna.

I have managed software QA teams larger than 40 people, and these people are friendly folks sitting infront of an IT system that would be an upgrade for Home Depot. They call you via robocall, telling you it's urgent to refill your Rx, you press 1, then they ask what you want. No clue they called you. EVERY single cycle of refill, they mess something up. If your auth expires one day after your refill, they wait and say they only can tell when they ask for authorization. BS. They then claim it takes 2 days to process a fax...then either way, you have to call THEM. They say 'it would be too hard to call you'. Aetna the insurance co does themselves disservice to allow this pharmacy to use their name...and then hold US their customers, hostage to use them. Shame on you, Aetna.

$2500 deductible although the prescription formulary provides my maintenance drugs at no cost. Med express is not covered and you must pay full price for a visit. It does count towards the deductible but it is an expense that should be covered like an office visit copay.

Run as far away from this company as you can! I spoke with an insurance agent Aetna Medicare PPO. I only wanted information. I had double knee replacement surgery scheduled for two weeks from now and found out today that they railroaded me and enrolled me without my permission out of Medicare into their program. I’ve had to cancel my surgery. They enrolled me without my permission! It’s only five days after the beginning of the month when They said I became enrolled by them. I never gave them permission.

I cannot say enough good things about Aetna's customer service team members. Anytime I called, they went out of their way to help me. I even had a customer service representative call my Dr's office to try and help lower a copay for a preventative service that should have been zero. That said, Aetna insurance does not have some of the extra programs like an over the counter free benefit through mail order, and their in-house mail order pharmacy had the same prices as going to a local pharmacy. For me having some medications that could only be filled at a local pharmacy, the mail order pharmacy was of no use.

I have a severe intestinal disorder that requires infusions every 8 weeks. My first red flag with this company is when they denied my treatment at the infusion center that I typically get treated at. They said I would need to have it done at my doctor's office. My doctor's office tried to explain that they were not setup to do infusions in the office. Aetna still denied and now my doc office has to set me up in their office. I essentially have to sit in a chair for 4 hours in a windowless room which is uncomfortable and isolating. My infusion center provides a comfortable chair to lay, not sit in, WiFi, TV, pillow and blankets, snacks if need be because I need to eat small amounts of food throughout the day on top of my regular meals, and windows to look out of.

Aetna has saved me a lot of money. I am interested to see what happens with CVS buying Aetna. Sometimes I have to call them because the health vendor is asking payment before I know what I am expected to pay. I learned to always check with them for paying a bill or waiting for the monthly statement.

My Arthroscopic knee surgery was approved and now after I have had the surgery I received a letter saying it has been denied. I wouldn't have had it done if it was not approved beforehand. This company is messed up.

I have had several issues with Aetna which I found most frustrating. They do absolutely nothing to encourage their insured to get an annual physical or any other annual exams. I found their customer service to be of poor quality, and I was relieved when Hewlett Packard, again, offered a United Healthcare PPO to its retirees.

I have been with Aetna ever since I selected them as my Health Insurance from my employer, which was at least 10+ years before I retired in 2014. I kept them as my Health Insurer thru Medicare when I had to select one, because I never had any problems dealing with them at any time while they were my insurer. I had to deal with them on a few occasions so can honestly say that all the staff I dealt with were a pleasure to work with. Aetna is a great organization, and I am hoping that they will remain the same if/when CVS purchases them.

Paying out of the pocket is high. And Aetna do not cover most of the health needs. The co-pay is high for special doctors. The insurance company want you to visit the doctors, under this insurance. Why...if one is comfortable with the old doctor. And also they do not cover brand name prescription.

Managing my family's healthcare has been much more financially challenging with current Aetna plan. The coverage isn't what it used to and between premiums, deductibles and the 20% copay I have for everything, my out-of-pocket is a large percentage of my income. More than mortgage payment.

Aetna is good insurance in some respects, and not so good in others. My policy is a teacher employee contract with a large Catholic Diocese. There is apparently a part of our policy that states that any procedure done in the doctor's office has a co-pay of $35, however once when I was having a back procedure multiple times in the doctor's office, I was told the procedure would count toward my deductible. I paid almost $1000 upfront. The doctor's office staff called, as did I to verify the cost to me, but no one appeared to know anything about this caveat in the policy. When the claim was processed, my responsibility was $35 for each procedure. The doctor had to reimburse me around $900.

I have serious health issues and I can never get any of my medication because this company covers nothing. I call customer service. After waiting an hour they hang up on me. I am leaving this company and anyone who ask me about this company I will tell them not to get it.

I have been an Aetna member for years and years and really don't have too many complaints about them but I am seriously stewing about this issue. For years as a diabetic I have received monthly allotments of test strips I need for testing and for years they have always wanted diabetic patients to use One Touch Test Strips. We actually get covered 100% for the strips but only as long as they are One Touch, not another brand, not any brand. Now late in 2017 Aetna paid for many of us to get ahold of the brand new amazing Medtronic Mini-Med 670g insulin pump. This thing is amazing because it's new and has been referred to as an artificial pancreas and takes a lot of the work out of being a type 1 diabetic and really helps with keeping blood sugar levels stable so one might ask, what the problem?

Wife went in to her doctors for routine blood work. Found out after it was done that Aetna does not cover Pregnancy test! They tell me it is experimental. Even though I was told that all of the other insurance companies cover it, they refuse to. I have been on the phone with them over 5 times now fighting this. They also have an agreement with Quest to reduce the cost by $20 because they refuse to cover it. The Dr office said Aetna started denying this test all of a sudden. Absolutely ridiculous. Stay as far away as you can from Aetna. They are a joke.

Claims for 4300$ which insurance can’t explain is usual thingThey even doesn’t know who is provider and what’s going on. (I’ve finally received the bill from this provider for 90$ but claim for 4300$ is still there.) And one more claim for 900$ for annual examination (what supposed to be free). It’s super stressful to receive all these claims. The same thing happens for all my workers. Worst experience ever. I can’t understand why this company still exist.

We have had to "step-down" on our coverage this year due to increasing premiums. To date, I have spent the better part of this month on the phone with either the Pharmacy Management or Medical Coverage Depts. I am exhausted and extremely frustrated with their level of customer service, I've read a few of the reviews and have experienced much of what has been covered. To the gentleman in Woodland Park, CO. I know about the CVS fiasco, you are allowed 3 courtesy fills at the pharmacy of your choice, then... you must use mail order or go inside a Target store as we don't have CVS freestanding in Colorado Springs. This I know as I was a Pharmacy Tech for Walgreens.

I had Aetna for 2 years but decided to go to Blue Cross this year. November 1 was my date of cancellation. They took $235.16 from auto draft on November 11th as did Blue Cross, my new provider. I had major surgery 11/10 so when I was able to address this, I did so. Sending all documentation showing my new health cards from Blue Cross. They said they paid claims for November, therefore only sending me refund of $100.51. I have asked for proof of such claims paid but the quarterly statement only showed 10/4 claims paid by Aetna. They won't deal with emails, snail mail or fax only, which I don't have a fax machine. I advise seniors to look elsewhere. I'm still fighting for proof of claims paid in November.

I had 2 part D med plan choices for my disabled brother. I picked Aetna as Nadia (enrollment) quoted me specific individual, month by month, prices for each of his 16 prescription meds. She LIED. Told me 2 of the meds were $60 per month each. 1st month I get the refill... Aetna (and 5 reps constantly being transferred over 2.5 hours) are charging $141 EACH per month. $162 extra per month. I am now in the grievance process. If you have had this same problem or are a lawyer representing others in similar situation, please contact me.

My group insurance switched me from Cigna to Aetna. A drug that cost $0.50 with my Cigna plan went to $5.00 with Aetna. Since this was the first time I used Aetna drug coverage, called up the customer helpline at the back of the card to inquire about such discrepancy and if this was going to be typical henceforth. First of all the line was terrible, very difficult to hear the other party, obviously an overseas “help” desk. The first lady to take my call, could not answer any question so she transferred me over to someone else. Same thing, all she said was that this drug would cost me $5.00, couldn't help understand why and if this would be typical going into the future. I stayed online which is what I was supposed to do to give a feedback on the call, but was unceremoniously disconnected after a few minutes of waiting.

I just spent the better part of 2 hours on the phone with Aetna Medicare RX service. It was the most frustrating and horrible customer service experience of my entire life. I made a mail order on December 11th and it has still not shipped. Today is Jan. 10th. They are charging me $27.00 to overnight a shipment of 2 generic drugs that cost $4. And every mistake in the course of this order has been theirs! I have submitted a grievance. Their new motto should be "Aetna - We make every process much more difficult than it needs to be."

I'd been successfully and pleasantly using Walgreens for my ** refills, using a ** discount card ($15), and was suddenly advised to contact AETNA - my Rx refill unceremoniously denied. I contacted AETNA, and was informed that I would HAVE to use their mail order service, needing to pay the FULL price ($130)~ I was told that they do not accept the discount card, and was charged the full price of $130 for my latest Rx (no returns accepted). AETNA said I could use a CVS pharmacy about a 50 minute drive from where we live (the Walgreens is a five minute trip just down the road). I am not sure if CVS accepts the discount card, but AETNA is making this experience very inconvenient, expensive, and causing a very bad relationship experience, similar to being RIPPED OFF... I really miss Kaiser Permanente.

The last few months, I have been experiencing some health issues. I have had a severe cough for weeks, and having complications with my right eye. I have seen quite a few doctors with Cedar Sinai Medical Center. Every time I would discuss my symptoms or concerns, they would seemed to be ignored or rather not taken seriously. A few months ago, I have seen my primary care Dr. and an ENT doctor for congestion and sinus/allergy issues, only to be given an inhaler and sent on my way. And about a month ago, I have had an issue with my eye bleeding and having pain. I saw two optometrist and an eye surgeon. All said that I have an eye hemorrhage and should eventually go away. The eye surgeon did recommend I get an MRI, which exam showed normal. When he contacted me to tell me this, he was so in a hurry. I tried to understand what he was saying, but all I can say was, "Oh, ok".

I work for the school district, and due to health needs of me and my family, selected the health insurance plan that “covers” the most. Because of this, we are paying $1,700/mo for medical insurance. (SEVENTEEN HUNDRED PER MONTH, on a teacher’s salary!) I am diabetic, and USED to use an insulin pump (12 years, I used one) until the cost became so outrageous we couldn’t afford it anymore ($500+ for a 3 mo supply of dme only, not including insulin, and the actual pump). I reverted back to syringes and 4+ shots/day to cut the cost of my condition. DESPITE the fact that I am paying SEVENTEEN HUNDRED DOLLARS PER MONTH in medical/pharmacy insurance, I have to pay a deductible 2xs per year (our insurance renews in September, then the fiscal year begins anew in January).

After initially stalling initial payment on claims for ongoing physical therapy (which is required and prescribed for me to live with manageable pain after 3 spinal fusions), Aetna finally paid up. A pittance for the services, but something. Well they are now coming back and asking for a majority of those funds back...1-2 years after the fact!

I had to use my NEW insurance for the first time the other day. CVS bought Aetna, not good at all. I needed my prescription filled, I've been on this medicine for many yrs.. I find out that the insurance will only pay for 12 pills out of 30. Those 12 pills (generic) would cost $33. No change. If I wanted the remaining pills for my prescription it would be an additional $99.87... WHAT!!! I called Costco. For all the pills without my insurance watch this big change… $13.12!!! Guess where I'm getting my medication! No more CVS. Before Xmas I had a bad cold. Asked the pharmacist which out of the 3 would be better I showed her. She says, whichever 1 has the most √ on it. I said what!!? Very bad customer service. Our insurance is not helpful anymore, liked it the old way. We are being sucked dried of our money & taken advantage of.

I am at high risk for cervical and uterine cancer. My doctor was hoping not to have to do a hysterectomy, but after doing biopsies of my cervix and uterus decided that a hysterectomy was the best course of action. Less than a week before my surgery, Aetna informed me that they were denying my claim for the hysterectomy because they thought that I should undergo other, less invasive procedures before getting a hysterectomy after already having biopsies that confirmed my doctor’s diagnosis. My doctor spent an hour on the phone with the Aetna doctors to explain why the hysterectomy is the best course of action, but they wouldn’t budge.

Lately I have noticed several medical procedures have been billed in duplicate by providers (Same CPT codes same day) under different hospital names. It happened to me multiple times so it's probably not rare incidents. I have filed claims with the insurance but still received bills from the medical providers, this is plain and simple fraud. Before you open your wallet make sure you don't pay duplicate bills.

This company is the worst. When trying to find out about my disability claim my rep. is on vacation and they do not have any answer for my question about my claim. Keep giving me the runaround to different people. Strongly advise to avoid this company. Just want to take your money for nothing. What good is ins. if when in need no service!

I have had 2 back surgeries. Recently I have had issues w/ pain and numbness. One of my Drs ordered an MRI. It was denied b/c I did not do 6 weeks of physical therapy. I did 6 weeks of physical therapy and it was denied b/c I did have an x-ray. I had an x-ray and now it's denied b/c certain paperwork was not sent in correctly. AETNA has become terrible. They only care about cutting costs and saving money. They do NOT care about people. Thinking of getting a lawyer because it is obvious they are playing games. Two back surgeries and extreme pain and numbness in back and legs and all they care about is saving money on an MRI. Also, I am on disability and this MRI is holding up my epidural shots which could give me relief and my surgeon is waiting to see the MRI. AETNA only cares about money!!!

I have chosen a primary provider with this insurance company multiple times. By the time I get the card, the providers do not want to take Aetna anymore. Apparently Aetna does not pay on time and sometimes not at all. If you do find a provider (about 50 miles from your house), they are usually rude people with the nastiest offices. Very low class providers accepting this plan (seems like the desperate ones that can't keep patients). Everyone I have talked to is rude, or not properly trained. Huge lack of customer service. This insurance is best used at the emergency room or urgent care offices and nowhere else.

This Insurer is not to be trusted. They are very inconsistent in the claims payout of the same codes. They do not follow through with claim escalations. And do not follow Medicare guidelines. They have cost us $1200 in 2017 in underpaid claims. Try to avoid them at all costs.

I understand Deny Deny Deny is the mantra of any insurance company but come on! My wife and I both had wellness exams last year and they denied the cost of the bloodwork which is supposed to be covered at 100%. The reason - it was not coded properly. I worked with Aetna reps and my doctor's office people with countless hours on the phone spanning 5 months and ultimately Aetna said, "Oops, our mistake, we processed it incorrectly". Finally the bills got paid properly. 1 year later my wife and I got for our wellness exams and guess what - the have denied the bloodwork again. This company is unbelievable! I will be so happy when I live in a country that does away with private insurance like this!

I have this insurance through my job. But they are so hard to deal with. When you call, they never know what you're talking about. Then they refer you to a case manager, Thats never available. They make mistakes on paperwork. Then dont take responsibility for them. & The customer suffers. Because of their mistakes.

I'll start by mentioning that it is 11 days past my group health insurance effective date. It was supposed to be active on December 1st, 2017. It is now December 11th and we still haven't been "entered" into their system. Therefore, my family and I "do not exist" in Aetna's world, nor does any medical professional recognize that we have health insurance. I have never heard of any insurer ever doing this to their customers.

Been with Aetna for 4 months through employer. To start, they had my name misspelled, zip code wrong, and birthday wrong in their system. I had to update this through my employer and even after updating it twice while sitting in HR, they got my birthday wrong a second time and then got my social wrong. Basically anything they could have screwed up, they did. This prevented me from going to a doctor for 2 months as my information didn’t match. Since then, my wife and I (we work for the same company and have the same insurance) have tried to make several doctor's appointments. Half the information on their websites regarding in network doctors is incorrect and/or out of date. Most phone numbers we’ve called are no longer in service and the few we got through to aren’t accepting new patients even though the Aetna website says otherwise.

Went for a routine cologuard colorectal cancer screening. Aetna denies coverage because "exact sciences is out of network". There are NO alternatives for a cologuard screening. Also, it has been approved by the FDA since 2014. Finally, there are 150,000 new cases of colorectal cancer every year in the USA. This is a medically necessary and approved screening. There is ZERO reason not to cover this screening for what is the 2nd most common cancer in the country (lung cancer is the first most common). Really a terrible firm, STAY AWAY!!

Not sure where to begin. I first went to a hospital linked to Aetna for a routine physical and stated up front that my primary care physician (PCP) had retired so that I needed a new PCP. Filled out the paperwork, came back the following week for my physical, and all cool... until two months later when I am abroad and Aetna says that they will not cover because I did not go to my non-existent PCP.

Aetna service is beyond poor. 10 days after my son was admitted to ICU with a TBI and days after the trauma ER Dr. Stated we should be transferred to acute rehab. Aetna approved our facility. We checked out of our hotel, gas up and waited to follow transport of our son to PHX. At the last minute we are informed that they will not cover the Dr. Ordered transfer unless we cover 13k for transport and the hospital will not release him under Dr. Order to us to transport. Now we are sleeping in the hospital and our son is not receiving the directed care. We have been in touch and very active in this process without any quality of service. With Aetna buyer be careful. I pray this delayed treatment does not hinder my son's recovery.

Aetna is the best insurance I have been enrolled for over fifteen years. If I had a problem, I called them. Got the information need to go a professional for the care needed, then follow up on claims and contact for you to resolve a billing problem. Atena is more expensive than the other companies but their coverage is awesome so far.

I am covered under an employer plan which recently changed from Highmark to Aetna PPO. Went to open-enrollment meetings and were lied to about our coverage staying the same except now we have deductibles for “in” and “out” of network. As employees we have to go through this so-called “Get Healthy” program to give us a percentage off of our premium. What a joke!! Yet in my earnest effort to maintain my health through annual hormone testing because I had breast cancer and carry BRCA 2 gene requiring a mastectomy and hysterectomy, Aetna refuses to contract with this lab and it is the only one that can provide this that the doctor prefers to use. I have to test to maintain optimum hormone levels which is CRUCIAL to good health.

A representative for Aetna called because I applied for health insurance through a website online. He wanted a credit card or my bank account number so I told him I would think about it and call him back. He says very rudely "what's to think about". I also wanted to get information sent to me but they "don't do that" he says. Makes me wonder if it's a scam and he didn't sound very professional, not like when I talk to HSBC or Geico representatives. Has anyone experienced this type of call from Aetna?

I called the billing department when I noticed they did not withdraw my auto deduct payment from my bank in August. They told me I had a 352.20 credit to my account from public assistance. It took them 2 months to straighten that out, they assured me it was all settled. This month I check my bank statement and they took out 501.20 when they should have taken 179.20, bounced my account and the ** tell they will call me back. When I ask no answer. I know from the last time it took 15 days for them to get back to me. They are beyond incompetent!!!

I received a bill from Aetna Pharmacy Management, and the only way it could be paid was via a check or credit card number using their return envelope. Not online, not over the phone. This is 2017; who doesn’t have a website to accept payments? Setting aside this pointless restriction that smacks off payment obstruction... The envelope provided was plain paper with no security features whatsoever - anyone could plainly read my credit card information through it. Trust me when I say I will hold Aetna liable for any loss incurred.

Aetna took a payment out of my checking account after I told them not to because I wanted to change insurance companies. I called them and they were very nasty with me and demanded I write them a letter stating the name of my new insurance company, my policy number, and reason for changing insurance companies. I did as they demanded and when I called my new insurance company to let them know what Aetna demanded from me, they said it is a federal law that Aetna reimburse me for the insurance payment and I have a right to change insurance companies.

Aetna is horrible. For the 4th, 5th, 6th time they've messed up our billing so I can't get prescriptions. We have a primary and secondary account. They keep changing them blaming the doctor check with the doctor. It's correct and what happens is we wait months for prescriptions then you call them and you get a song-and-dance long-winded put on hold and no resolution. I'd rather be space dead than deal with him. Oh they're helping me by not getting me my medication so I probably will end up dead. Thank you. In return, taking my money and nothing in return. Run if you can the faster the better. They always take your payment but they don't return with any kind of customer service. These review sites need to put in the ability to have negative Stars. Extremely negative Stars.

Aetna denied my child's coverage for using a doctor that was not her primary. Problem is I was going through a divorce and moved out of state and could not use her primary. I called and talked to every person I could or was allowed to and all were dead ends. I would not recommend this company to any person or business.

Aetna Insurance promotes itself as Healthcare joined with State of AZ Medicaid Program. Not informed, consulted; nor did I consent to becoming a part of that program; already had full coverage mandated by law through UHC. Found out at an appointment, denied to be seen based on false and derogatory information place in the State of AZ Healthcare System by the State of AZ. Six months AZ Administrative Court process restored by right to choose my own healthcare insurance provider back to UHC.

My 13 year old son's Foot and Ankle Surgeon ordered an MRI to determine if his foot had a stress fracture. Aetna denied this MRI based upon published "international and national" standards. When I asked why this was denied, the standards were cited. I have spent over 3 hours trying to push this MRI through. In the meantime, it has been 10 days and we still don't have an MRI. I pay 1614.00 a month for my coverage. My son's bones are breaking and an MRI will help us determine why but no one will accept ownership inside the company.

I have had multiple claims now with Aetna and selected the plan I did because it 100% covered childbirth. After having a child born I have had to call the company 5 times to get claims adjusted appropriately and have been given a litany of excuses as to why it was filed wrong ranging from they accidentally used last year's rates or the person doing the previous claim was missing information etc. Perhaps reasonable the first time. The 5th time it simply astounding. They assured me they were fixing the claim and I owed nothing each time. I didn't realize they had utterly failed to properly pay the hospital when I got a call from a debt collector. Fortunately the hospital was agreeable and placed my account on hold until insurance actually pays properly.

I have been getting my Flu shots at Rite Aid for 3 yrs. This year I went to Rite Aid only to be told that Aetna won't cover the high dose Flu vaccine they have. Aetna only will do generic vaccines and my pharmacy handles only ** that offers increased protection for at risk seniors. I contacted Aetna for a review that they ignored. I have been bounced around through 6 different service reps for hours only to be told that medical and not prescriptions with pay for the shot. Went back to Rite Aid and again rejected by Aetna. This company has no respect or compassion for its members. Absolutely horrible to deal with. I will be going back to the pharmacy and paying cash for this vaccine. So Sad that they treat seniors this way.

I am a counselor in Illinois. Recently, I left full-time employment to pursue part-time private practice. This involves becoming credentialed with the various insurance companies so that one can receive payment. Becoming credentialed with Blue Cross/Blue Shield and Cigna was straightforward. It took some time, but there were no real snags. Aetna, however, has been a nightmare. The practice I joined used to work out of another city than it does now. It's been where it's currently located for several years now. I never put down the old address on any of the forms I completed. My guess is that Aetna got it from the tax ID they wanted and I submitted -- I submitted the one for the practice, since I don't have one individually. They sent me an email to say that I was credentialed, but when I got a potential client who had Aetna and I double-checked, they said I was 'in-network' at the old location, but 'out-of-network' at the current location.

I had a procedure done in mid January 2017 and they still haven't been able to get the claim adjusted correctly. It is now mid-August and after over 20 phone calls and having my company involved, my initial claim and subsequent claims are so messed up. I am in total disbelief that living human beings could be so ignorant. I even sent in a letter adjusting the claims for them according to how much they pay the doctors for the various services and they still can't get it right. They admitted numerous times to me that there was something wrong with the way the claims were handled too. I just don't know what to do anymore. I have never experienced such incompetence before!

Prior to signing up with Aetna, I talked to an Aetna "customer service" representative about drug costs and was told that the cost of medications do not apply to my deductible. Not true. I was charged full price for my prescriptions. They paid zero. I called to find out which pharmacies were in network and was told by another uninformed representative that I had no choice, I HAD to use their mail-away company. After paying a high price through the mail away, I found out today that I can use many other pharmacies and the cost would be HALF of what I paid through Aetna. I was lied to again!!! I would not recommend Aetna to anyone. The representatives have no idea what they are talking about and they make up the answers as they go along. Come November, I'm OUT!

I have been dealing with Aetna for a claim I found out was not paid in 2014 and it is 2017. The customer service has been the worst. I have encountered a rude escalation Manager and the supervisors don't know any more than the specialist. They give out contradictory info and lack service training. I have even had managers that say they will call back but don't. I have a long list of service reps name and even requested that the tape from one call be pulled because the rep was so rude. This is the worst and to say that my employer chooses them over other reputable companies saddens me. How do you get anything accomplished with this company. Someone help!

Needed MRI and was denied by their 3rd party. Stated had one 5 years ago. Dr tried peer to peer but no go. I got stuck with Aetna. No choice what retirement benefits changed to. As soon as I can I getting out. The company tells you one thing and it turns out to be wrong. Looks like their third party for precertification only wants to save them money.

Recently changed jobs, new job uses Aetna Insurance. First time I refilled my diabetes medication I received a letter saying the drug ** won't be covered. They recommend a medication that's been around for 50 years my doctor said. Very unhappy with this insurance co.

Stay away! If you must use them have their number on speed dial. Aetna International gave me the run around for 14 months! I now have a permanent hit on my credit report because they failed to pay a claim in a timely fashion (they finally PAID in full). Aetna constantly processed claims incorrectly or only in part (I was 100% covered). I had to call Aetna at least 2-3x per claim to get them resubmitted before they would pay. Aetna delayed payments by requesting records while the hospital had already sent 3x. Aetna once told me all my previous 8 claims so far that year were processed incorrectly. So now I needed to pay.

This has been the worst experience with an insurance company that I have ever had! My husband has this as a retired member of a company. I have been told I was not a member... even though they were taking the money out. They kept saying my account had to be updated. Finally they found out I was a member. Now they don't want me to send in a check for my medication, and they have my medication on hold. They want to directly take it out of the bank.

Unbelievable. My husband quit his job March 30. On March 31, Aetna Specialty Pharmacy called to ask if I wanted my very expensive medication filled. I told the agent "I probably am not covered. My spouse left his job and that is how I get my coverage". The agent said "Ok, well let's see if it approves..." and then "Oh yes, you are still covered, should we send it to you? I replied sure. Well you can guess what happened. I got a bill for $2702.61.

I was so disappointed with Aetna insurance company services provided in Dubai. They are very slow in assessing submitted claims and form and plus I was shocked to see them rejecting an emergency case although doctor confirmed it's an emergency and their doctors who are totally unexperienced with this severe case didn't accept specialized doctor assessment. I am so surprised how an international company globally who is totally a non customer focused service provider.

I was on the phone with Aetna Provider Relations Dept for over an hour trying to resolve an issue regarding "Why our State of Delaware employee patients are being issued medical cards that have random physician names on them and not ours". After an hour of talking to 2 separate provider reps... I asked to be transferred to our PROVIDER REPRESENTATIVE and was told that I could not speak to my rep, but had to fax a letter stating what I needed to speak to the rep about. The rep will receive the fax and decide if my request warrants a return call. They would not even supply me with my rep's name or email. So needless to say our patients (well over 200-300) will receive insurance cards with incorrect primary care names on them, they will need to contact member services to ask to have our name added again and then they will issue ANOTHER card to our patients. WHAT A WASTE OF MONEY AND TIME.

As a practice manager I made many attempts to secure contracts for behavioral health providers and have been refused each time. Network management will not allow phone calls, direct emails to discuss the practitioners' qualifications. They provide only a basic form to complete and then send a denial stating the network is full. The network is not full, open choice is a right in this country (at least today it is) yet Aetna clamps the lid on new providers.

I had to go to Emergency Care to consult a doctor due to a sports related incident. After calling in with Aetna, having them pre-approve my visit and even resorting to an Aetna recommended partner hospital which allowed for Direct Billing, they ended up not covering for the hospital expenses. I only noticed when I was contacted by a Claims Management company acting on behalf of the hospital ca. 6 months after my visit. The ensuing months - long exchange battle was a farce and ended as it started: with Aetna's unwillingness to pay and general incompetence to communicate. The partner hospital cut their ties with Aetna as a result. I changed my insurance provider as a result. I carry deep-rooted despise for this insurance "provider". Never again!

As a pharmacist I spent almost 2 hours being shuffled around trying to get an override for a 10 month old seizure medication. I spoke to 8 different people and none could or would help me!!! This infant was going to have to go 15 days with NO seizure med!!! This is unacceptable!!! How can you sleep at night knowing you have left an infant with no life saving med??? Not only was my time wasted which put me behind but the problem was not solved.

As a physician, Aetna is the worst health insurance company that I have had to deal with. They are extremely difficult to communicate with on behalf of my patients. They are painfully slow in processing requests and appeals and make doctors repeat many steps of the process in advocating for patients. I recommend you seek other insurance if possible.

Aetna Health Ins was great while it was through an employer. Since I switched to Aetna Medicare it's a different story! I have to fight over every claim! Medical claims have to be sent twice. A dental reimbursement claim for $50 was sent 5 times with paid receipt and cancelled check and they are still arguing about it. Their website lacks important information that was included on the Employee member site. Forms have incorrect addresses - Email questions are responded to with canned robotic responses that don't answer the question. Most of their human customer service and claims reps appear not to be able to read and comprehend English. Cheap - but you get less than you paid for. Coverage looks great on paper - but try to get it - good luck! I pity seniors who are less able to deal with this nonsense - they will really get taken advantage of.

I have a masters degree in healthcare administration and previously worked for a health insurance company for several years, and I find Aetna's plans impossible to understand and navigate! I have also found that the company will deny claims even for the most basic care! I will absolutely be changing my insurance carriers during my company's open enrollment!!!

I was hung up on when I ask for the quote to be sent to me via email before I agreed to the terms. I called back and wait time was so long that another party came on and took my information and said I would get a call back. They never called back. Hmmm.

My local pharmacy, participating in Aetna, costs $12.88 for generic ** for 30 days. Aetna helpfully informs me that I can order it through their online pharmacy, and get 90 days. Yes, that's convenient. But the cost for 90 days is $408.37. Price confirmed by calling the pharmacy contact line and speaking to an agent because the automated machine doesn't know what ** is. So to save drop-bys at my pharmacy, I have to pay 1056% for the medication? WTH?

This is my first year with Aetna, I've used it once to date and it is good for prevention. I'm not sure yet of period coverage, but time will tell. I'm pleased with what I've used to date.

I was previously with Anthem Blue Cross and I had a great experience when I had to file out of network claims with this health insurance carrier. My husband's company switched to Aetna recently and it has not been a good experience. Almost every out of network claim that I have submitted has been denied and they do not ever provide explanations of why. And these are claims that were always covered by Anthem Blue Cross in the past. I have submitted some claims to Aetna for re-review over 4x after speaking to claims representatives over 6x to try and figure out why they are being denied. It honestly feels like Aetna is just in the business of denying claims instead of covering them.

Costing almost $700/mo with me paying 139.00/state of IA paying remainder, I cannot utilize this insurance when I work out of state without meeting a $20,000.00 deductible first! Just because I chose a lousy company to work for that promised me health insurance and didn't come through on it before my contract ended, I was forced to get this affordable care act ridiculousness of Aetna insurance or pay a penalty come tax time next year. Was also told by them (Aetna) (and all calls are recorded) the day I went to the Dr that the copay would be $10.00 as opposed to $0 if I were in area. Yes, the provider is in Aetna's network, but out of area for me. I am currently working in CA and live in IA. I do not work in IA, but all over the US...

I'm insured with Aetna through my dad's job. I recently registered for the online app because I was referred to by a representative from a previous conversation. The registering process was simple and easy. However, when I began to look through the website I noticed the website was showing open/unpaid claims that I have previously paid in full through my provider. After seeing this mistake I called Aetna's customer service. I am unpleased with the answers I received. The lady told me there is no way she could inform me if there was a mistake, because the payments go through the medical doctor not Aetna. However, there is an icon that says "make a payment" online. My whole point was if the claims were paid through my provider why is it showing unpaid claims on the app.

I went to a doctor who is part of John Muir for a routine check. Before going, I inquired with Aetna about the Insurance coverage and got the response that John Muir and the doctor is part of Aetna In-Network. A John Muir Doctor wanted me and wife to do the routine test, and suggested me to go the lab in the first floor. The tests the doctor ordered were mentioned in the document with letterhead saying "LabCorp." Me & my wife went there, and once again inquired LabCorp whether the Aetna Insurance can cover our tests. After seeing my Aetna Plan 80, the LabCorp person said "Yes, all the routine tests are covered by the insurance.”

For some background, if you use 30mg ** solutab the Aetna medical bureaucracy will charge $1000 a month copay that must be allowed by the Obamacare monopoly. Aetna offered to mail order my prescription for $1000 for 90 days. If you lower the dose to 1 or two 15 mg pills per day over the counter ** is available for with a doctor prescription. If you take less than 30mg, you can buy it over the counter for $30 a month via insurance for $7 copay. Aetna insurance went berserk and resent me an offer for $1000 copay via mail with 90 days at a time. I refused it and they cut me off at 1 per day which extended me out until June.

In 2016, I paid this fraudulent outfit $1000/month for health insurance for my wife and me. Our deductible was $6800 each so it was literally no coverage except in the event of something catastrophic. But under Obamacare, we were entitled to one yearly wellness visit each. Aetna has just denied the cost of that visit. On top of that, they decided there wasn't enough cash to lap up in all of Florida so they dumped every Floridian from their roles. Really? If this is what they'll do to screw a customer for a lousy $125, what will they do if you were forced to make a real claim? Wake up voters. Insurance companies are in business to make money off you for their upper management and stock owners. SINGLE PAYER is the only way you will ever know the stress-free safety of having health insurance you can rely on. Ask Canadians - it really works.

When refilling a heart medication at CVS which they make me use, pharmacy does not have a 90 day supply in stock. Aetna will not approve for less days and then pick up rest when it comes in. I had to go 3 days with no heart meds due to this practice. When I called Aetna to complain they told me I should have checked other pharmacies to see if in stock. WTF.

My son needed his vaccinations and a first time doctor's visit for school. We picked a doctor through the Aetna network. When it came time to pay, Aetna didn't have us in their system so I paid out of pocket, anticipating reimbursement. My claim was submitted months ago and I have to keep following up to resolve disputes since they refuse to reimburse me first time stating the doctor is out of coverage, and the second time stating there are multiple network providers.

My husband was denied coverage for a spinal fusion. Not a rocket science type of procedure. Since the denial, I have received nothing but poor service and run around from AETNA representatives. I have requested the documentation twice that AETNA says it will provide for "free" regarding the basis for denial. I have received nothing. I have been told conflicting information from each rep I speak with from different clinical policy bulletin numbers to being told my denial letter must have a mistake because the type of procedure is covered and can't be denied. All of this I feel is a stall tactic to discourage members and have them give up on seeking coverage. Meanwhile, they have no problem covering pain meds for same condition. Hmm, married to the pharmaceutical companies perhaps? I pay a high premium and feel AETNA is not holding up their end of the deal when it comes to a significant procedure. This is nothing other than a scam to me.

I have a dental insurance with Aetna through work. In October 2016 my wife had some inlay done and we submit the invoices, they were not processed till now (we are 9th of March 2017), though that time Aetna has requested information that was sent by myself personally as well as my dentist as well. Nevertheless they keep changing the delay reason from asking for X-ray to asking for pre operative and post operative X-rays, to asking for the tooth number. Although all this was provided and they could ask all their question directly to the dentist and get all they want at once!

They won't pay for migraine injections that at least two other insurances accepted. They told me my coinsurance for a migraine device was $40 and I called again because I don't trust them, and voila, after my deductible, they will pay only 50%. I'm opting for an device they don't cover at all because it is cheaper.

Forced to take Aetna through my company. Got medical and Dental. Worst plans on earth. Had oral surgery scheduled for today. Aetna denied the surgery without informing me or provider. Found out 5 minutes before appointment. They still cannot tell me why. They don't even know whether an extraction is medical or dental. They keep bouncing me around from one department to another. At times, when I call the number on the card, I get an endless stream of ads and surveys. Other times, connected to some job thief in Mumbai. They make murder seem appealing. Complaining to the state this afternoon.

This company has some of the worst customer service I've ever dealt with. My son receives therapy once a week. I submit the same claim from the same provider every time. It goes smooth for a month or two then they start screwing up the claims. They aren't processed correctly or they're not processed at all and require me to call them. Now they won't cover the therapy and it's taken me over 2 months to find out why. Their only response is that there has been no measurable progress yet the report from the therapist says there is.

My husband's policy was cancelled after Innova/Aetna received and cancelled the monthly check payment. However, Innova/Aetna said that it was the incorrect payment. I submitted the payment the Affordable Care Agency (ACA), Obamacare told me to submit. I have been in conference calls with the ACA and Innova since September 2016, but to no avail. I even suggested that I would pay whatever amount they wanted but again to no avail. I decided to file a complaint with the Commonwealth of Virginia (COV), Health Division. Due to the complaint, on January 2016, the health policy was reinstated. The irony is that my husband has never used this health ins. plan but since it's the law, you know how that goes.

I wish I could give negative stars... As of Jan 1st 2017 ----these idiots banned all the meds people really need and then want you to use different meds that they made under table deals with... and say it's the same meds but when you ask them to put in writing... they can't. If same meds then why are you charging more for it? People get used to a medication and then you want to lock it down and charge more for it. Useless people over phone keep transferring you from # to #. What a joke and then we get fined for not having insurance. People are already pay check to pay check then they really want to stick to us. Ok. I'm have vented but this company still a joke... and the puppets working for them.

My husband was recently diagnosed with malignant melanoma of the left ear and required surgery to remove the cancerous site. A graft was put in place. It was apparent within a couple of days that the graft wasn't taking well, and the physician asked us to get a hyperbaric oxygen treatment consult. We did - on 20 January. The hyperbaric facility quickly sent information to Aetna for approval, and as of this morning, 2 Feb 2017, the case is still pending.

Aetna calls me one day to request approval on a refill for $375 due to the high cost. I declined the charge and they processed anyways. We had insurance with a new company for 2017 and so I immediately returned the medication because my new company had processed the prescription. Aetna now refuses to refund the charge even though the medication has been returned and I no longer have them for insurance. How messed up is that! Their customer service is so horrible. One star is too many!

I have been diagnosed with Stage 3 Multiple Myeloma and pretty much been given a life expectancy of only a couple of years. Part of the "Standard" medical treatment is stem cell transplantation after high dosed chemotherapy. I was in the hospital for three weeks, throwing up, nauseated and lost 20% of my body weight, not to mention all of my hair! The hospital billed me, and I of course, sent that to Aetna for payment. They refused, even though this is a life saving procedure. To make matters worse, I needed the same treatment again in January, but since the bill has not been paid I had to turn the treatment down. Oddly enough, the U.S. charges over $80,0000, here in Germany it is only $19,000.00.

I don't even know where to begin with this review. I had to go through Aetna through the marketplace for health insurance and from the moment I signed up I've had nothing but problems. First off, let me tell you how idiotic the workers are there. I don't know where they find their employees but most of them are completely uneducated. I've probably had a total of three good experiences.

Obamacare is the least American plan passed, then you get companies like Aetna that does exactly what is said in my subject matter (PRIOR) to the Obamacare Obama CRAP. I had good health insurance for 296 per month, $20 copay, $5000 deductible. Now with the help of Obama Crap (care) through this despicable company I have a $804 month premium, 0 copay, and a $7500 deductible. Anyone that thinks Obama Crap (care) is good is a Welfare **.

I no longer receive healthcare from Aetna. I just received a $9 bill for a Dr. consultation from over a year ago. When I called the Dr office they said "Aetna made a mistake and you owe us ~$9". After spending literally hours (phone/emails) trying to have Aetna clear this up, they have informed me I must file a second appeal, in writing, on paper. Imagine your plumber sending you a bill for the work he did over a year ago (which you already paid for) with the explanation that he made a mistake back then and didn't charge you enough. Yes, this is for $9. How many people just pay it?

Recently my company changed our Aetna insurance to one that requires me to use Aetna Specialty Pharmacy. I have been on ** for almost 5 years as a treatment for rheumatoid arthritis. Since we were changing pharmacies, I started the process of ordering my monthly dosage 12 days prior to my necessary "shot" day. After calling everyday to make sure there were not problems, and being told on 4 different separate days that all was in order, I would receive a call to tell me that it wasn't shipping due to -- no prescription, order never entered, need an authorization script (twice). After 2 weeks, 2 days after my shot was due, today I received a shipment of **. Unfortunately, it was sent as hypodermic needles instead of an ** format. What a completely frustrating experience. I am sure tomorrow when I call, the whole screwed up process will just be exasperated.

I have had difficulty with Aetna covering claims multiple times in the past, so for this past visit related to birth control I called Aetna to ask about my coverage and preferred provider. I was told birth control is covered through contraceptive services 100%, so I went to the office that they instructed me to. Afterwards I received a sizable bill and when I called Aetna to ask why it was not covered, I was told that the contraceptive portion of the visit was covered but every contraceptive visit has an associated medical visit (although I did not seek ANY medical care or advice) and that this office was not my preferred provider for medical visits.

I ordered RX (3 month supply insulin must be on ice) on Dec 20, 2016. The delivery was held at UPS warehouse because someone at Aetna changed the delivery which was supposed to be sent to my doorstep. I called Aetna Dec 28th to have the insulin delivery changed and they told me that it would be delivered 7pm that evening. It never arrived. I called again Dec 29th and talked to a pharmacist Ruth that told me they would re-send new insulin because the medicine would have gone bad. I was told it would be shipped Jan 4th because of the holiday. I never received the medication and now the company will not retroactively send out the medication as my insurance has changed. This is so wrong!!!!

Aetna is an unethical, non-responsive, non supportive medical insurance provider. Their customer support is just awful. Incorrect and inaccurate direction and different answers depending on what day you call or who you talk to. In addition it is rare that anyone at Aetna does what they say they are going to do or even call you back after promising to do so. Just terrible. I submitted for approval of a vein ablation procedure for both of my legs. Aetna approved the procedure for the leg that had less issues and refused to approve the worse leg. The provider tried and tried to communicate with Aetna with absolutely no success. I tried multiple times and just got frustrated and gave up. So I changed providers effective Jan 1st 2017 and resubmitted the exact same paperwork that Aetna had denied. And within ONE week the procedure was approved by new provider. Moral of the story... DON'T BUY AETNA insurance. It is just an AWFUL company!

I have Aetna insurance through my job at work and I had to go off of work at the beginning of December 2016 due to a medical condition. My first attempt to be put on short term disability was not successful. Not because I did anything wrong, but because the agent who I spoke to and whom I made sure to let her know this was for short term disability and not for FMLA *due to my knowledge of my business not approving FMLA until a year on the job* made sure to only put my claim through as FMLA. I got an online notice letting me know that my claim had been denied after 6 days. I diligently followed up and found out what happened, so my claim was already almost a week late in being started correctly. After this I have done nothing but jump through hoops, follow up and do literally everything I possibly can to make sure all information needed for Aetna for my claim was provided to them.

In August of 2016 my fiance had back surgery that was very necessary because of a disc pressing on his spinal cord. He had to get the hospital put in network because the doctor (which was in network) needed to use the robotics at a certain hospital. After doing just that and having the surgery, Aetna refused to pay the $91000.00 bill saying it wasn't in network. After the first appeal, Aetna then claimed it was experimental. There was nothing experimental about it. After the second appeal, Aetna now resorts back to the hospital not being in network (which had to be approved before the surgery). Aetna will do anything to avoid paying even after you pay your premiums for years. We should all get together and start a class action lawsuit against those crooks.

My doctor took me off of work. I provided Aetna with my doctor's information, location, fax, e-mail and phone number along with a medical authorization. After 30 days they denied my claim because they said they were not getting the medical records and told me to get them. I talked to my medical provider who said they sent everything Aetna asked for. When setting up an appointment to see my doctor it is done through the internet only allowing for a few letters so I was brief and stated my arm was sore and decided to talk in person about what was really bothering me. Aetna just saw, arm sore and denied my claim based on that, they never looked through the entire record and notes from my doctor. I have asked for copies of my file including all e-mails and still after 4 requests they do not even acknowledge receiving my request.

Coventry which is owned by Aetna is no longer offering healthcare coverage in Iowa so Aetna took over those plans and rates increased dramatically because of this so called company within a company swap. My experience with Coventry was good in 2016. It has been nothing short of a major disappointment since Aetna took over my health coverage. The customer service is awful and the login to access to your plan has been a nightmare to say the least. Tried using Walgreens for a generic 1mg prescription that cost $10 a in 2016 and my bill was $177.00 because Walgreens did not make Aetna's preferred provider list? This is very disturbing how much control Aetna has over filling a simple generic prescription. My advice to you is simple. Find another carrier if you live in Iowa. I am.

The worst experience I have ever had with an insurance company. For three days all I have gotten is the runaround from one department to the other in an effort to have anti-rejection medication filled. Depending on who you talk with at Aetna you are covered and then rejected. Do not use them for your insurance needs.

I had open heart surgery in August 2016. Since then it has been one fight after another to get paid from these people. Currently they are 3 weeks behind on my case again. My last pay was in December 2016. Still waiting. Do these people think that our bills don't exist. My paperwork gets lost, I have resorted to making my doctor send me all the confirmation letters that the documents were sent and received on certain dates. Oh and don't expect a callback from your case worker. I have left numerous messages and never received callbacks. Now my case worker not receiving messages at this time. That's what I got today when I tried to call her. I even went so far as to write a letter to the CEO of the company that just got some public relations person to call me but guess what? Nothing changed. Still waiting.

Aetna will make every effort to deny your claim by sending a letter saying that procedures are experimental. My wife got stuck with a 2400$ bill for genetic testing when she is pregnant because Aetna considers genetic testing as experimental. NEVER GO WITH AETNA.

Aetna is the worst for everything. I went to urgent care for my wife and they billed me for $612.80 for emergency charges and $12 for doctor which I was able to see in my claim list. Then I got a bill of $482 which I paid assuming that it is the adjusted amount of $612.80 (I may wrong in my assumption). After sometime I got a call from the hospital that you have the amount due to paid. I said I already paid, then they said "no that is from different department."

I have been selecting Aetna as insurance provider since 2009 and never used their services much until 2016 as I am young (31 years old now) professional. In 2016 we had a baby in October and my wife has been diagnosed with multiple diseases (not a good year from family health perspective). Since my wife has reached the plan coinsurance limit, Aetna started rejecting most of the claims for her. Recently she had to go in emergency for Pancreatitis attack and Aetna rejected the claim stating it wasn't necessary??? They are just increasing my pain. I will never suggest them to anyone. Next year onward I am planning to change to UHG - other insurance provider by my employer. Please suggest what should I do and who should I contact?

On 10/27/16 I sent a check in the amount of $1,405 covering annual premium and $20 processing fee for Aetna Supplemental Health Insurance. The following week I received a letter dated 11/1/16 declining my application and stating I would receive my refund with seven to ten days. It is now 12/2/16 and I have not received my refund. I called and was told the check was cut 12/1/16. I don't know whether or not it was mailed but I consider their business policy disgraceful.

I went to the dentist for a surgical procedure for my daughter. The dentist office called right there and were told the dental procedure was covered and they even gave them a $ amount of coverage. They were never instructed to call medical or oral surgery department. Then, they turned around and denied the whole claim. Sent it to medical including the x-rays and doctor's visit. Aetna has created an "oral surgery department" as I was told by the rep when I called, to get away with not paying dental benefits and tricking the dentists and patients to keep their money. If you're a large business, don't get Aetna for you company, it's a terrible service for your workers.

I had an Aetna Medicare Advantage plan for 2016 (premier PPO). That plan rejected routine vaccinations by my approved doctor and made me appeal them to get them approved. In 2017 they took a generic medication, **, and arbitrarily switched it from tier 2 to tier 4, causing the copay to go from $15 to $100. Many people don't check their plans before renewing. Next year this will be a rude awakening for those on that medication who don't. This caused me to switched to another company, Gateway, for a drug savings of $600.

I called the 800# listed in the 2017 Medicare booklet for supplemental insurance on 10/10/16. The agent, Greg, signed me up after asking a lengthy series of questions to ensure I qualified, which I did. I waited and waited with no further contact until I called to expedite in early November. Was told application wasn't received until 10/26 and it was incomplete. No one called to tell me it was incomplete and here it was 2 weeks later. I was told I would be emailed the 'health' questions to get this thing going. No email. Called again. New Person.

It used to be that health insurance was simple. You met your deductible and then the company paid 80% of the rest. Now we have all this details about certain labs, certain procedures. It's ridiculous. I must go to a cardiologist once a year for congestive heart failure. My insurance has always paid for my echo, my blood tests, etc... This year, they will approve none of it because they want you to go to a central lab - which doesn't even offer the tests I must have. When I called about this, the customer service rep (whose name was Wendell) came out of the blue and said, "Well, we don't care about you. Not at all." I thought I was hearing things, but he repeated it. I guess I shouldn't be surprised, their CEO makes a quarter of a million dollars a day. Insurance companies are parasites on our population. We need to put them out of business with single payer medicare for all.

My experience with having Aetna as a health care provider has been nothing but problematic. With my salary being on the lower end (as I am in my early twenties and a full-time student), I qualified for Obamacare. However, even with that discount, the premium is $190.00, with the specialty co-pay at $45. The main care I receive is in regards to mental health, so I have always understood that, with any provider, specialty care is more expensive. However, paying $200 per month for insurance, $45 per week for therapy sessions, $45 per psychiatrist visits, plus the co-pay on my medications meant that I was a 21 year old full-time student spending $500 or more a month on health care.

After purchasing a medicare supplement plan for myself and husband from Aetna, we decided to go with another company. I called to make the cancellations and did what they requested. First they gave me the wrong fax number, then wouldn't accept the fax for my husband. I didn't find this out till I called for an update on my cancellation. So we called again, talked to the customer service, did what they asked and waited. NO emails on the progress so I called again, my check was sent out on the 3rd which is 3 weeks from the first call. They are fast to get your money and VERY slow to return it.