Aetna Health Insurance Reviews

My dentist called to verify I had insurance and yes I did and all was fine. Then suddenly after all the work is done there was a refusal to make payment. This place supposedly never got the appeal that I have proof made it to them. Every person I ever spoke with had major attitude and made up lame excuses always different. I have not experienced anything so dirty from a company this size ever in my life!!!

Lack of transparency and clarity in their plans. When you purchase Aetna plan you think you will be covered. When you actually file a claim you realize you were duped by them. In my case they refused to cover annual physical performed at walk-in clinic. Paying their premiums is a total waste of money.

My company switched insurance providers to Aetna and did not notify us... neither did Aetna. I get a bill a year later stating I owe my doctor money. I call United, they call my company HR. They call Aetna. I get this Indian guy I'm having trouble understanding, but I can hear his attitude. It took me 5 times to explain that of course my doctor's office didn't file it correctly because I wasn't notified of any change. I asked why he didn't get some basic info from my HR rep when she WAS JUST ON THE PHONE WITH HIM! I don't know the service date, I don't know anything because I switched companies 8 months ago. This company can't do any investigating on their own. I've been given the runaround. They can't notify their subscribers. Don't get involved with them. I remember my oral surgeon having to call for over 1.5 hours to get help and get me covered.

Horrible experience with these people! They do not honor their claims even though it is written in their benefits plan. Every time you call to get more info about why they REFUSE to pay... you get a different person with a different EXCUSE as to why they won't pay. My office manager at my doctor's office who has 30 years experience with dealing with insurance companies said she has never seen any insurance company give so many ridiculous reasons and EXCUSES for non-payment on something that is in their own benefit package.

Over the past 3 weeks, our family called Aetna and our physician's office to get a pre-certification done on my knee injections. Each time we called Aetna, it was another excuse: no medical record sent, etc... because they gave the wrong fax #. Then after 2 weeks of calling for hours, they inform us the knee injection needing approval is not in approved injections and other 3 injections (lesser performing ones) has to be done first before the best is done. I consider this very wasteful after I have had the other three - they want us to try them AGAIN. Aetna = tons of wasted phone hours, incompetence on receiving and applying records sent not once but 3 times from the doctor's office and ALL EXCUSES. We are saving to pay out of pocket.

I took LOA from work due to extreme fatigue, dizziness, fainting, nausea, and extreme high blood pressure. Leave was suggested by my manager and my doctor. It took a couple months to run tests. I called to report to Aetna of was taking leave and that was all I heard from them for 2 weeks. After two weeks I called back and they never started my claim and never sent my Dr info they needed a reply to. They called me a week later and told me they would deny my case due to not hearing from my Dr. They were extremely rude. They finally reached out to my Dr but didn't get all info needed. But refused to tell me what other info they needed. They denied my claim. I took it through the appeal process and again denied. They sent a letter as to why but in this letter they claimed I was taking meds I have never been on nor prescribed. They gave false stories as to my condition.

My wife is diabetic and Aetna refuses to pay for her medications she needs, the pharmacy said I could pay $200 cash to get her meds and I don't have that kind of money lying around. Also my wife got extremely sick one night at work and left work and went to a hospital over by where she works and Aetna refuses to pay for her to see a doctor that night. Then lately I had to save my CDL license and I ended up paying out of pocket $800 cause Aetna said they wouldn't help pay for the CDL physical, and the doctor I was seeing who was a quack anyways ordered a test.

Aetna has the best mental health benefits in the industry, according to our providers (hospitals, clinics, doctors and counselors). One hospitalization can be over $100,00 easily, and max out-of -pocket is less than $3000, at least for our plan. They have been very easy to work with, mostly not requiring any contact at all from us. When we did call their answers were prompt and accurate. They have been truly amazing.

I recently was informed by Aetna that a claim needed specific information from me to be resolved. So after several emails and phone calls to both Aetna and my doctor. I found out what they really needed was a diagnostic code - something I would never have. I asked that a Vice President explain this to me. I wanted to see if management would also be dumbfounded by these events. What I was told was even more dumbfounding - a Vice President cannot reply to my email. Whoever heard of a Vice President that cannot use email? I guess Aetna has.

I am insured by Coventry. I was told by my Coventry representative and doctor's office to use Aetna Specialty for prescriptions I needed. I was told it is the only pharmacy I could purchase from to use my Coventry benefits on these medications. I called to get prices so I could comparison shop. (Walgreens and Freedom gave me base prices over the phone without a prescription having been processed, so I assumed Aetna would.) I called the number on my doctor's Aetna medical request form. I pressed "8" as instructed by the automated message because I am a Coventry member. When a human finally answered, she asked for my member ID.

Aetna in Denver, Colorado is not adding new eye doctors in Colorado. In order to reduce costs, they feel that it is better to not add doctors, so waits to see doctors are longer so they pay out less money. Terrible patient care.

I am an Aetna subscriber suffering from a severe case of cervical stenosis resulting in pain, discomfort, and numbness of my extremities (arms, hands mostly). There are two methods of treating this condition. One is Cervical Disc Arthroplasty (CDA) which has been a mainstream surgical procedure for the past 6 years. It is far superior to the alternate approach Anterior Cervical Discectomy and Fusion (ACDF) which has been around for approximately 50 years. CDA has a higher success rate (96% compared to 92%). CDA has a faster recovery time (6 weeks vs 6 MONTHS). CDA has no impact on neck mobility following the surgery, whereas ACDF limits neck mobility due to the fusion of one or more discs. CDA has lower risk of other complications whereas ACDF has a high tendency for bone spurs to form at the graph sites resulting in further complications and possible additional surgeries.

Aetna employs "customer advocates" as a facade for service when in fact they sit at a desk and reiterate everything I can see in front of me on my computer and they don't know or do anything else. As customers all we're doing is lining the already bulging pockets of the CEO and his lemmings. Aetna Inc. Chief Executive Mark T. Bertolini's compensation was valued at $17.3 million last year, up from $15.1 million in 2014, reflecting higher stock and option awards. Mr. Bertolini received a base salary of about $1 million and a bonus of $1.84 million. While we pay extortion prices on our monthly premiums for BS care and helpless "customer advocates."

I logged onto Aetna.com to "join the network" and filled out an application request. It apparently "submitted" with a note that I will be notified in 7-10 days that they received it. After that, I went back on the website to register an account so I can log on and check status. Here is where the problem begins. There is no clear way to do this. So I contacted the number that came up for help but all that happened after that was the typical Aetna experience (transfer-transfer-transfer-transfer). Every person asks me for my tax id number and I tell them it will not come up because I'm not in your system yet and all I want to do is register an account with an ID and password.

I had 2 eye surgeries in June and July of 2015 to treat a malignant tumor on my retina. I had Aetna through my employer. There was only one facility in New Mexico that could perform both procedures which included a retinal surgeon, oncologist and the handling of radioactive materials implanted in and then removed from the eye. Aetna does not contract in the state of New Mexico, and I was hard pressed to find 2 surgical teams in a neighboring state, because of the size of the tumor and the danger that delay would risk of the cancer metastasizing elsewhere in my body.

My doctor of many years entered a small medical group about a year ago. Tossed from doctor to doctor who don't know my history and don't take the time to know me. My refills before were next day, then it jumped 72 hours without notice. My fiance saw the doctor on regular appt. Calls 2 weeks later and was told he must go in again to see the doctor?? WTH he was just there 2 weeks ago. Now Aetna makes it mandatory to see the doctor every month. Again WTH?? Who can miss this much work? And who's going to pay the copay? Then after all my history with Kaiser specialist these IDIOTS are saying I have to see pain management who won't refill until after a 2-3 hour sedated procedure to have deep shots. How will this help my arthritis? It can't. Aeta shove your insurance and rules where the Sun doesn't shine... going back to KAISER.

Aetna is a joke! Almost one year and they still have not paid on a hospice claim of $3,600.00 for my mother. Her insurance policy pays for hospice nursing home room and board at 100%. We have spoken to supervisor after supervisor who have given us the same old line of "oh yes. We understand your frustration and we certainly will get to the bottom of this", only to have no one get back to us and no bill paid.

I called today 8 times... They disconnected my conversation 6 times... Spoke to james ,gerald and roslyn etc. I think due to them getting out of obama care, they are doing disservice and poor service to force consumer away from obamacare... which is ridiculous... and outrageous. Poor business practices. I request department of consumer affairs to investigate these practices.

In brief: I have never had insurance like AETNA. In my life I've had Kaiser, Blue Cross, Blue Shield, and now AETNA, so I do have some basis for comparison. But AETNA denies just about every claim. It's always the wrong provider, wrong lab, wrong pharmacy, wrong EMERGENCY SURGEON (yeah, you can guess that emergency appendectomy story is a fun one!) It's really, really bad folks. I even call AETNA member services to confirm whether or not something's covered before I do it. But it seems, even I am not clever enough to outsmart them. Because AETNA member services LIES. They will tell you what you are doing or who you are seeing is in network, when it isn't. Only months later will you find that your claim has been denied.

I have had to Neurosurgeons agree that a spinal fusion is necessary to alleviate the excruciating pain that I live in. Four times Aetna has denied the surgery. The first surgeon having had experience with Aetna refused to do the peer-to-peer knowing that they would deny the surgery anyway and all it would do is take time from his other patients. The second surgeon submitted a letter explaining why he felt the surgery was necessary and again they denied it. The doctor even took the time and did the peer-to-peer and they denied it.

Aetna denied my prescription twice for the doctor at 2 different pharmacies. The doctor's office got involved and Aetna agreed to fill the prescription using "their" pharmacy. This prescription is now 6 weeks old and has never been sent to me. When I spoke with Aetna's "special pharmacy" they have been sitting on the prescription for 11 days and haven't shipped it. They are doing this because of the extremely high cost of the drug. Denying someone these things should be criminal when they are just trying to curb their costs for 6 weeks. This is saving Aetna a lot of money by delaying the shipments. There is no way that I am the only person that is experiencing these issues with this insurance company.

December 18th, 2015 my wife was sent to the emergency room with what turned out to be a stroke scare. Thankfully it was a much lesser condition but we still incurred an emergency room visit, ambulance transport, and 2 days of observation in the hospital. At the time, we both were covered under the L-3 Aetna Gold plan. My experience has been misery inducing to say the least.

Aetna is ruining my life!! Hello, I'm KL, I'm 34 and 11/12's years young. ;) I suffer from several disorders that keep me on several medications around the clock, which also come with having several specialists. All of my many "- ologist" 's are treating me for one thing or another. I had Blue Cross Blue Shield for 2 years. During that time, I had all the MRI'S, CT scans, EEG's, ultrasounds, etc. I rode the roller coaster of adding new meds, increasing the dosages, decreasing the dosages, getting another medication to try, stopping another, more medications for the side effects of other medications... You get the picture.

While most of the complaints on this site are from people who have Aetna plans, my complaint comes as a PAST employee who saw first hand the corruption and disregard the company had for those who strove to perform their duties and for those insured. I worked for Aetna for ten years. During that time I received consistent pay bonus because of my performance. In the three month period prior to Aetna laying off a large group of employees, I had received a bonus. Aetna then laid off employees who were approaching retirement age, or those who had health issues. (Aetna was a self-insured company which means they were responsible financially for fees to healthcare providers of their employees.) Stands to reason that if you have heart issues or are a brittle diabetic, you cost your employer more money since you are going to the doctor more often.

The appeal process was a total farce in which Aetna's representatives blew off my surgeon during the "peer to peer review," lied about the date on their final appeal decision to make it look like they complied with their 30 day deadline, and forwarded "an independent physician's opinion" to the Independent Medical Review which was never disclosed to me. Bottom line: review EVERYTHING involved in your appeal, because they will try to pull a fast one every step of the way. I'm switching to BCBS first chance I get!

I've been insured twice with Aetna International while working abroad. While the website has evolved somewhat over time, the claims process remains absolutely abysmal. On the positive side, the coverage was pretty solid, the deductible was low, and not much was disputed from Aetna's side. However, virtually every claim I filed was mishandled in some way and required follow-up, sometimes five or more times for a single claim.

Ever since my husband's company has switched to Aetna, we've had nightmares with insurance coverage. I just got a bill from 2014 that I paid my share of and now they are retroactively charging me for a screening procedure, which my Dr. told me was medically necessary. The Dr.'s apparently don't decide what is necessary, Aetna does. I have no trust in this company. Nor do I have any trust left in this country's medical system. I honestly will not go back to a Dr. unless I have a medical emergency because each time I go I end up owing hundreds of dollars, and this is with top insurance. I let them draw my blood for an "employee wellness" screen. I don't believe they care about people's wellness at all, just increasing their profits. This is a nefarious company operating in a nefarious system.

This is the absolute worst health insurance company and customer service. They have ripped me off of $187.00 hard earned dollars. You would think a company of this size would have enough brains to realize that they spent more than $187.00 of their time arguing with me about something that they were 100% wrong about.

I had to go to Urgent Care for a broken foot. I paid everything myself with a credit card, submitted the claim to AETNA to get reimbursed. I have called them maybe 25 times and each time they have a different excuse why they can't pay me: "your doctor gave a invoice that is not right", "wrong code was put into your account", "the bill was not itemized correctly" etc. Numerous stupid excuses and I jumped through hoops overtime getting them what they wanted. It has now been a year and I still don't have my money. Now they say that they paid to the urgent care! So I need to call the urgent care to get my money back from them... How stupid can people be! I pay $2500 per year for this insurance and have not gotten a cent back from $148 that they owe me. Don't use this insurance!

Received a bill from Eastern Maine Medical Center for $215. According to Aetna, their contracted charges with the facility allows for a charge of $344.08. They sent me a note "Your responsibility on this claim is $344.08." This makes no sense. If the bill is $215, I'm not about to pay more than the bill because I have insurance with Aetna. I have the high deductible plan, so I'm paying all the bills until the deductible has been met.

If I could give less than 1 star I would, but unfortunately one star is the lowest rating possible. On June 22, 2016 my daughter was admitted into a residential treatment facility for help with self-harm issues, marijuana addiction and an eating disorder. In the last 4 months my daughter has had 4 hospitalizations for cutting and threats of suicide. Her last stay in a short term facility was for 6 days where she was diagnosed for PTSD and it was strongly suggested by her doctor that she should enter residential treatment. Her regular therapist and psychiatrist also were in agreement she should enter residential treatment.

My family has a history of Factor V blood disorder. Mom, two brothers, nieces and nephews all have this blood disorder. I started to get the same symptoms. My brothers got before they each had blood clots in their lungs. Both came pretty close to dying because of these lung clots. I immediately sought help from my primary doctor who sent me to a blood specialist doctor. Both doctors recommended that I get tested for Factor V blood disorder to make sure that I would not suffer the same consequences that my brothers did. Blood was drawn and shipped off to Quest labs as directed by Aetna. I get a bill from Quest labs stating that Aetna refused to pay for the lab services due to the fact that the testing of the blood was experimental/investigatory and that they would not pay for these kind of services.

I have asthma and use inhalers on a daily basis to control my breathing. I have a valid prescription on file with sufficient refills and not an expired prescription. I called in my refill on Friday morning and went on Saturday morning to pick it up. When I got to CVS, they told me that Caremark has rejected the prescription. I inquired on why and the pharmacist did not know and advised to call the insurance to find out. I called the insurance and they advised that because I filled the prescription twice already their contract requires them to fill a 90-day prescription to save me money. That's a laughing matter. They should be honest and instead say this is to save our corporation money.

On June 6, 2016, I filed a STD claim with Aetna because I was scheduled to have extensive right shoulder surgery on June 24, 2016. I signed and returned the information release to Aetna within their required time. Along with the signed authorization, I advised Aetna, in writing, that I wanted a copy of any documents obtained with the release. I specified that I wanted the documentation within 10 days of Aetna's receipt. Furthermore, Aetna's own release states that I can view or copy any records obtained with the release.

A biopsy recently confirmed recurrence of breast cancer that I originally had in both breasts and total lymph nodes seven years ago so my oncologist ordered a PET scan to determine the locations of the returned cancer before I see the surgeon next week. Aetna has denied authorization for this scan. These greedy insurance companies should be cited for denying exactly what well-meaning patients are paying them for. I don't know how their employees can lay their heads down at night and sleep knowing they are denying required procedures for cancer patients. This miserly-immoral group is creating pitiful situations for sick people, but they sure make sure they get our premiums every month.

My wife has Aetna through her employer. She pays a pretty penny to cover us. I recently went on dialysis, and Aetna is not paying anything related to dialysis. I've gotten calls/letters from my nephrologist, my clinic, and my medical supply company, informing me that Aetna has denied my claims. Why? Because Aetna claims Medicare should pay. Well, I don't have Medicare. I have called Aetna twice in the past 3 months to explain that I don't have, nor do I plan to get Medicare. There is no law stating I have to purchase it.

I am currently off work with incurable illness and an accident while filing claim. This company has shown only attempts to deny and disqualify me from coverage. I feel that Aetna has no intentions of paying out any coverage and its only purpose is to collect policy money to further fill its own greedy pockets. I would not recommend using this company to anyone individual or corporate company for this reason.

I had coverage back in 2013/2014. Visited overseas on vacation. There where my youngest one fall sick had to hospitalized a week in an ICU with deluxe room. Had to spend about $800. I filed the claim once I got back in the US. I supplied them all the Medical bills x-rays, receipt from hospital stay. Looked like a whole file. They kept on saying inadequate proof, each time as I tried 3 times. Then gave up. AETNA is a biggest Insurance Fraud Company ever. Customer service sucks. Please stay away from this fraud company, if you can unless you want to be ripped off.

Customer Service is horrible. Every time I call the reps never understand English. They always say they are going to reprocess claims and it never gets done. You have to repeat yourself at least 5 times for them to get the conversation. Just horrible.

There have been numerous difficulties with Aetna Student Health ever since my university switched over to them. I've been on that plan for a couple of YEARS now, and am still waiting for the wallet card to arrive! It appears that several physician's offices don't know quite how to deal with the irregularity of the student plan(s), so there have been some billing difficulties in the past. Perhaps they are no better or worse than any other major insurer when it comes to paying claims, delaying claims payments, etc.

The whole group of Aetna Companies, Coventry, Altius (HMO) are definitely the very worst selection a person who is a DIABETIC could ever select for primary Health Care coverage. Their Avantra plan does not cover anything to treat or help a person on their plan. What they have in their tier 3 formulary you can buy over-the-counter for 90% less than they will charge you. Also there is no choice, regardless of your primary care Doctor's prescriptions, you will find it is not covered in their Formulary. Even the Glucose test meter they offer is substandard and you have no choice!!! You may as well be without coverage than to depend on any AETNA company. The hidden agenda of our present ruling elite is to reduce the planet's population by 300 to 400 million by 2025 and AETNA, COVENTRY and Altius all subscribe to accomplish this objective!! So whatever you do, don't renew or sign up for their coverage!!!

I applied for Aetna's Medicare Select Plan (HMO) on Apr 23, 2016. A month later they finally got around to rejecting my application in a letter I didn't receive until May 31, 2016. The rejection was due to a computer input error at SSA, quickly resolved. Aetna's incredibly slow process resulted in financial damage to me. In addition, they wanted to start the process all over again because they could not simply reactivate the original application. Lousy customer service, damaging to personal finances.

I am a Home Health Provider in Ohio. I gained a client that had Aetna as their primary insurance. I've been talking with Aetna FOR THREE MONTHS back and forth trying to get the process finished. First, they gave me FIVE different fax numbers. I've had to speak with FIVE different supervisors. This is absolutely ridiculous. Aetna ISN'T EVEN BBB ACCREDITED. Now I see why that is. Don't bother calling them about ANYTHING because they cannot help you. No training is given to their customer services staff. I didn't even want to give this waste of space one star. VERY DISAPPOINTED. Now I get to tell my consumer she has to switch insurance companies. Cool Aetna. Thanks.

I had Aetna health insurance for 3 previous years through Costco, but they closed my plan and required a change to plans at increased premiums. My husband joined me with a Texas plan for $1050/mo...which is more than my costs previously. Today I learned that we do not have access to all San Antonio providers listed but that our plan purchased called QHP limits us to 10% of network doctors. Aetna lied and misrepresented this plan. Greed and lies from their agents. DO NOT BUY AETNA! They are crooks!

I am insured by Aetna by a large prestigious company with a handful of employees overseas, who must go to doctors where we are based and file manual claims. We pay stiff premiums and have a medical spending account. Yet 80% of the claims are denied. Aetna reps have the lamest excuses: "We can't reimburse a claim involving a Mexican doctor." Or: "We can't reimburse an overseas claim unless it's a true emergency." Uh, wait, not even a mammogram? The countries we live in have much cheaper medical costs, and we are scrupulously honest. Once they sent me two checks for the same claim, and I tore up the extra check. But I'm still trying to get paid for a claim for a deep wound and a staph infection that cost all of $138. I have a chronic illness with no cure, and have required the same medication for years, yet every time I file, it's all new again.

I'm currently rehabbing a (repaired) torn rotator cuff. I'd been to see my physical therapist 25 times and had no issues with authorizations, prescriptions, etc. However, after 25 visits Aetna requires a re-authorization of your claim. My re-authorization claim was submitted by my physical therapist mid-March 2016, at which point my therapy was put on hold. As of May 11, 2016 I still have not been able to see my physical therapist. My orthopedist and therapist agree that I still need aggressive physical therapy sessions, three times per week. My orthopedist is so displeased with my progress that he's begun giving me cortisone shots.

I am the pharmacist, owner, and operator of Sullivan Drugs, Carlinville IL. Each year we help out 100's of seniors by locating them the most economical Part D Medicare plan at zero charge. We helped put 100's of OUR clientele on Aetna. As the year has progressed, I have been paid below my dead net cost on almost half of the claims submitted to Aetna. Some are losses of $100-$200 per claim. When our affiliated store in another town tried to refuse to fill a claim they were going to lose $180 on, they received a termination letter from Aetna. I can guarantee that I will not be servicing Aetna in 2017, but I am stuck with the option of losing between $30,000 and $50,000 this year by continuing to fill Aetna claims, or disenroll with Aetna and lose our valuable customer base that we helped put on this plan in the first place (most that have been loyal customers for over 20 years). This is an ABSOLUTE abuse of power and should be illegal!!!

Worst medical insurance carrier I have ever had. On par with V.A. medical. The online provider guide is outdated. I have made four attempts to get a medical card. Still cannot get one. They deny every medication. My physicians tell me that they have a very difficult time getting the referrals processed. Their phone customer service is next to useless. They are never able to give me any direct answers or solutions.

Stay away from Aetna. Upgraded plan on Aetna's recommendation. While seeing our regular doctor who is listed on their site, doctor called and confirmed plan covered visits and Aetna verified the policy over the phone with the doctor. Aetna has denied all coverage and benefits. The policy has been verified is in force. According to Aetna the doctor is not in Aetna's network. Called Aetna 3 times with doctor's office on the phone, Aetna said to file an appeal. We had the Aetna agent file it on our behalf while on the phone. The doctor called back and said Aetna denied the appeal. We called back, the Aetna supervisor said and I quote, "I can't help you, you will need to file a lawsuit." Stay away from Aetna...

Aetna Whole Health VA Preferred - Absolutely horrible. If the doctor/lab/medical facility is less than 50 miles then they are in network. My lab is 47.2 miles one way and another is 47.7 miles one way. I am not getting the lab work or mammogram due to distance. REALLY MADE A MISTAKE WITH THIS COMPANY.

I had AETNA 3 years ago and they were awesome, no problems whatsoever. Now they are like dealing with a bunch of little children. Every time I call them, it is in regards to an error that has occurred on their end. So I have gotten loads of apologies but nothing changes. You know what that means, they really are not sorry. I miss BCBS... They drop AETNA like a bad habit in regards to health care and taking care of their members. I have been a Type 1 Diabetic since the age of 3, so thusly I have to have health insurance. They are the worst health insurance company I have ever had.

I recently changed jobs and had to refill a prescription under my new insurance. Previously I had Blue Cross PPO and the new one is Aetna PPO. I was down to the last 2-3 days of prescription when I went to refill and it turns out that Aetna requires a pre-authorization for the medicine for which I have a prescription, that's been refilled by the previous insurance for almost a year. Why were they making a big deal? Well, the prescription comes in 10 mg or 40 mg dosages. My doctor had lowered my prescription from 40 to 30 mg which means that for a 30 day supply I needed 90 pills. The prescription said take 3 (10mg) once daily.

My wife takes Montelukast everyday and has been taking it for many years as a generic for singular. Last year a 90 day supply cost us $16 until she got into the donut hole and the price went to $34.90. Just got a prescription from a preferred retail pharmacy and paid $139 for 90 days. I checked Aetna drug price on line and the $139 is correct according to them. It shows as a preferred generic but they price it as a brand name medication. To add to my frustration I found out that when they told me to use a local preferred pharmacy I thought (silly me) I could pick one for all medications, but checking another local pharmacy it was $28 less ($112 per year).

I personally have Aetna as my primary insurance, yet not for long, since they are so difficult to work with. I have been trying to get my provider's claims to get processed and they keep asking for the medical records, yet the medical records were attached to the claim since the beginning. My provider was told to send the claim through mail along with the medical records attached and not through the electronic billing since the records would be ignored that way, well guess what, the records are being ignored either way. I was on a 3-way call with my provider when they called Aetna and all they said was that the claims are being denied due to medical records not being submitted.

Outdated doctor database by 1-1/2 yrs. They have to update quarterly. I called dr ** who is listed as endocrinologist with the prime plan and personnel who had been there over 1-1/2 yrs. Said they never heard of him. Aetna rep gave me ** as well as it is on their website. Dr ** endo also no new patients. At least 4 other endo drs listed when I put my name on Aetna's website and login in. Aetna rep today said she does not see them on her screen but they are listed on patients login for the plan.

I've had Aetna for years and it's been okay until recently. Their service has gone downwards in a big way. Customer Service is awful. I called and verified both by telephone and online that my doctor was IN network. The doctor's office also verified multiple times that they were IN network and I only owed a $20 copay. I just received a bill from the entire past year that said I owed additional premium, yet it showed that I paid ALL the copays for every visit this year (quarterly).

My Daughter lives in Cold Spring Kentucky, she has health insurance (Aetna) thru Kentucky medicaid. She has been in and out (mostly in) of the hospital for the past week due to adhesions on her small intestines that are obstructing her bowel which results from Crohn's disease that she was diagnosed with over a year ago. Her Doctor recommended an operation that would require removing "the bad" sections of her small intestines (adhesions) that would eliminate the obstruction to her bowel that could otherwise become a life/death situation. Everything was in place for this operation to be performed on 04/13/2016 at St. Elizabeth hospital in Northern Kentucky. This morning as she and other family members were literally on our way to the hospital, her Doctor calls her to inform her that her Kentucky medicaid "Aetna" will not pay for this necessary, crucial, urgent operation.

I have had Aetna (different plans) for over 12 years. For the most part I have been happy with them in the past as they always covered my medical costs, tests, surgeries, etc. But in the last 5-6 months it has been nothing but hell! They have denied every prescription even though I go through their stupid Home Delivery and Specialty Pharmacy. They give no reason for the denials. They just refuse to fill them so I am out of medicine that I desperately need because they won't let you refill until 7-10 days before you need it and then they take two weeks to decide if they will fill it! They also have been denying doctor visits, requiring letters of medical necessity for EVERY visit!

This is by far the worst company I have ever dealt with. Not only do I wait at least 45 minutes every time I call them, but every single customer service person is rude and very unhelpful. They are extremely unethical to the point I was charged my premium 3 times in one month. When I contacted them, the lady was extremely difficult and ended up hanging up on me. These are low life government employees and I can't wait to be able to cancel my insurance with them in a few months. They're so bad, I would rather pay the fee of not having insurance rather than deal with them any longer.

I have to say that Aetna better health has to be the crappiest health insurance ever. I have been waiting for a medication authorization for almost 2 weeks. The doctor's office I go to insists that they do participate with Aetna. Aetna however says they do not participate with my doctor's office and haven't since this past October. Come on!!! This is absolutely absurded!! I contacted Aetna today for find out about the authorization for the medication. I was told by a customer rep that since they do not participate with my doctor's office anymore my authorization would be denied.

Aetna pays you back a small percentage of what they deem "reasonable" payment for your out of network providers. One physician I see charges $180.00 a visit which Aetna used to refund ~$70 for a visit - basing this number on FAIR Health Inc. numbers. As of 9/1/2015 they switched to basing their number on Medicare rates which now returns ~40 dollars to me from the same visit. The worst part is their website still advertises that they follow FAIR Health Rates (aka they're liars - seems illegal to me). You would think that a company this large could hire someone to update their web page if they make policy changes (the link sends you to a page from 2012). Pathetic excuse for a company, pathetic coverage for required services.

I would not recommend this insurance to anyone. I pay $60/week for "Premium" coverage, and my deductible is still over $3,000. I had strep throat and could not afford to go to urgent care because they don't cover ANY care until I pay $3,000 out of pocket. This may be wonderful if I ended up with a life threatening disease and incurred thousands and thousands in medical costs, however for the average person it's a rip off. The website is not user friendly at all. The only doctors that are in my network within a 20 mile radius are medicare doctors, who are never taking new patients. So I can't get an appointment with any of their "accepted" physicians but at the same time they wont cover my $200 Urgent Care visit.

Aetna constantly denies claims for prescribed medication. Then their appeal process is so absurd that you will quite possibly die before you get thru it. It is 100% made so the customer will give up because of time and lack of progress. I am sure because of Aetna low level of health care coverage people have died unnecessarily. There automated service is the worst, their callback reliability is ridicules and non-existent.

When I enrolled in a Coventry policy via the Marketplace, there was a glitch in the Marketplace's system that cancelled out our enrollment and enrolled us in a plan that would void out our $572/mo premium tax credit. The Marketplace accepted responsibility for this mistake and has attempted to straighten it out with Coventry. While they were able to convince them that from February onward, I will receive the tax credit, they have repeatedly refused to backdate it to January. I have been dealing with this for two and a half months now and Coventry has repeatedly been rude and refused to understand that I legitimately should have those tax credits. Their most recent refusal letter cited some Marketplace guidelines, in spite of the fact that the Marketplace is the one telling them to backdate it in the first place.

Wow, what a joke! They call their "customer service reps" concierges. The rep that answered my call was so snobbish and rude that it certainly fit. There was no customer service at all, so concieeerge fits well! I tried to get some form that they are requiring to be filled out before paying for my 6-year-old's emergency service payment is paid by them. This has been going on for over 2 months. I was told first by the rep that he could not find the form and then that I did not have access to it. This just adds insult to injury! This is the worst insurance ever!!!

I have had Aetna for years, because it's really the only thing offered through my work that has providers in my area. They have gotten worse over the years. Here are some of the experiences I've had - I regularly see a provider who does not bill insurance. Lame, I know, but I have gone ahead and submitted the forms myself using the claim form provided by Aetna. They have lost the paperwork more than once, forcing me to resubmit. They have also reimbursed for some dates of a submittal and not other dates even though they were submitted at the same time.

I need to have surgery on my neck and Aetna has denied it. I meet all requirements. I'm out of work at this time because of my neck. This surgery would give me back my life and I could return back to work. So angry and disheartening that you put all this money out on insurance and you don't get the treatment you need. It's ridiculous.

My employer recently went through a merger and changed our health insurance from Blue Cross to Aetna. It's almost impossible to find an in-network provider. The website supposedly lists participating providers and I relied on that. To my surprise when I show up for an appointment, they say they don't accept Aetna and never have. So I call them. They gave me the name of a provider that they say participates within 30 miles of my home. But when I call, I find out the practice has moved and is actually 70 miles away. So back to Aetna I go, and they give me another name but say I need to confirm with the provider and then call them back to see if they'd accept it. When you call back, all of a sudden, no, that provider isn't in-network.

I called 46 offices before I burst into tears. No one is accepting my insurance and I have an ear infection. I signed up for the free healthcare because I don't make enough at my work. I guess I'll be paying out of pocket regardless now from some other office.

My husband's employer just changed our health insurance to Aetna. We went from a $500 deductible to a "family" deductible of $3500. And after trying to use the insurance, we just realized it's going to take us forever to meet the deductible, not because we don't have medical, but because Aetna denies just about every claim. Acupuncture is "experimental" and not covered. My hospital is "in network" but the iodine, epidural, and drugs they gave me in my last surgery was "out of network." Iodine to sanitize an injection site out of network? Are you kidding me? How can you even sue these liars? This is a lying disreputable company--stay as far away from Aetna as you can!

DON'T GET SICK IN AMERICA., and if you do, make sure you're not covered by AETNA. I am a 52 year old disabled nurse. After years of lifting and moving patients, my back problems hijacked my career and life. A car accident in 2009 further complicated my problems. I have had 5 back surgeries and more procedures than I can count, yet I've been able to salvage a life. My husband and I, recently purchased health insurance through the marketplace. We decided on Aetna because his medication is on their formulary. This was a tragic mistake.

I had obtained Medicare Part D coverage from Coventry First Health, an Aetna company. After a while, I realized that I paid $400 one year and paid the insurance company over $400 yet they paid only $100 for my meds; a tidy 300% return on their investment! I discussed this with a pharmacist who agreed with my conclusion. She said that insurance companies love people like me who are not on a lot of expensive drugs; furthermore, I could pay even less for my medications if I went onto one of their (the drug store's) plans.

Now, Aetna wants to control all prescription refills and control the delivery dates at the prices they decide to set for co-insurance. Yesterday, I received a letter from Aetna stating that I've reached my limit on prescription refills, and "it's time to sign-up for prescriptions by mail delivery". So, I called Aetna and asked how much my co-insurance would be on a brand medication. Their price was higher than the co-insurance I currently pay at my local pharmacy. So, the Aetna agent said, "do you want to opt of the program?" I said, "what program?" She said, "the prescription by mail program." I told her that there was no mention of an opt-out program in their letter. She said that if I don't opt-out of the "prescription by mail program", then I'd be responsible for 100% of all my prescription costs - and Aetna would pay nothing!

A slick new trick by Aetna in a recent letter states: "Action Required: Time to sign up for prescription delivery." The first sentence says, "You have reached your fill limit at a retail pharmacy for your prescriptions" and "From now on use our mail delivery program, etc." So, I called to find out what the co-pay would be on a brand prescription without a generic. Guess what? Their (3) month supply price was higher than the co-pay through my pharmacy. So, I was asked if I wanted to "opt-out." I said "Opt-out of what?" They told me that unless I opted-out of mail delivery, I would be responsible for the entire amount of the prescription, and Aetna would pay nothing! This is a new, bizarre policy by Aetna to control your prescriptions and ship them to you on their schedule. I suggested that they explain the member's choice to "opt-out" in the same big black letters that they use to explain the mail delivery program.

This company is worthless for an Expat living abroad. The website varies, and as of late, when you try and navigate the site to submit a claim, you can't find it. Their "Ask Ann" is a joke, you are asked to fax or mail the claim in. International company LOL. They also pick and choose as to what message they will reply to. The brief period their website allowed you go upload a claim is apparently gone, and the few I did, I cannot get a reply from their customer service. I implore to you. Look elsewhere if you have a choice of providers before embarking overseas.

I am a healthy male in my 50's, self-employed. I have had Aetna coverage purchased through Costco since 2010, and in that time have paid in excess of $45,000 in premiums without making a single claim other than a routine GP checkup. My physician has recently prescribed me an anti-depressant which required pre-certification, and Aetna has denied it. This medication is important for my health. Before this I have never claimed a prescription medication from Aetna. I feel I have been scammed and that this is very shabby treatment for a customer who has paid top dollar for this "coverage" and by the way has a perfect on-time payment history. I intend to find another plan ASAP.

I have been trying to book an appointment with a surgeon for 2 weeks now based on my log in account with Aetna provider directory. I book the doctor appointment and the doctor office calls the provider number on the card to verify benefits and they tell them they are not in network on the plan. I call member benefits and they verify, yes the doctor is in network on the plan and attempt calling the doctor office who explains that the provider number tells them they won't get paid and are not in network.

Finding a good doctor that accepted Aetna was relatively difficult. The receptionists all told me that they had so many issues with Aetna in the past that they will no longer accept it. After the birth of my son I absolutely understand why. It's been nearly 2 YEARS, and now I have another baby on the way. They are trying to stick me with thousands of dollars in bills. The most recent one I am fighting they are saying that I owe just under 30,000.00 that they are trying to say they will not cover. For reference, my deductible was 2,000 dollars so where they are saying I'm responsible for 30,000 dollars is beyond me. The customer service rep also couldn't tell me and tried to blame it on the hospital but unfortunately Aetna has been the common, miserable denominator in all of this.

For over a month I have been dealing with Aetna Specialty Pharmacy to get a prescription refilled which has been nothing but stressful. I was left a message by the pharmacy to call and get my refill which I did, but was told it needed a preauthorization which I didn't understand since they already filled it for (this was the beginning of January 2016). I was told they called the doctor's office for the preauthorization to be filled out and that they also faced the paperwork. Second week of January until today February 16 I called every week to check on my refill, I was told the doctor's office never faxed back the preauthorization, I was told they had the incorrect information for the doctor's office and so on.

I initially called Aetna to make sure that my wellness exam doctor was in network and my appointment would be fully covered. The customer representative checked the Tax ID number that I got from my doctor and assured me that the appointment would be fully covered. After going to my appointment I was billed for the appointment because the doctor was not actually in network for me and the customer representative gave me incorrect information. I have appealed my claim to Aetna twice because I do not feel that I should have to pay for their representative's mistake. Both times the appeals were denied. Aetna has now told me that there is nothing further that they can do, and if I do not like their decision I can pursue an external appeals process.

Pulmonary recommended to take dymista as failed nasonex and Flonase for allergic rhinitis /nasal problems - The Pulm clinic tried preauthorization but denied by AETNA. Dymista was helping with the symptoms and I dont want any change of meds if dymista is helping! I called Preauthorization and was told to send appeal letter which I did, but no answer back if they have got it and reviewed or not. I am now feeling the heartache how my patients must be feeling. I have to change this insurance and have spoken to my husband. We have secondary insurance Blue Cross so I need to check if they would cover meds. Why are insurance companies giving us such a hard time - I now understand why my private colleagues are so frustrated!

Seriously. Isn't Vitamin D one of the major vitamins out there? These greedy ** will cover ** but will not cover a vitamin D test for a 5 year old. How sick is that? And people wonder why Trump will be the next president. What a disgrace. This company should be ashamed of itself.

Aetna should be embarrassed as they are forcing me to go back to my doctor a third time to get this addressed. Wonder why medical costs are so high? It's because of all the effort it takes to get the products and services ALREADY paid for!

I was recently put on Donnatal and then when the new year changed I found out that I needed to get a preauthorization for my medication. The only problem is if I go off Donnatal for too long I can have a seizure, so I spent the next week waiting on Aetna to approve me. While that was happening I was spending 117 a day for four pills. My wife called after five days and Aetna said that my DR had never faxed in the preauthorization. We talked to the doctor and yes, in fact they did send it in.

My son lives in San Diego. I live in Michigan. My son has Aetna Health Insurance through his employer Scripps. He fell on 1/17/16 and injured his right elbow. Went to ER, got x-rays and splint and was told to get a referral to an orthopedic, sooner rather than later. Saw his primary on 1/18/16, got the referral, called and was told they are closed until next Monday! That would be 1/25/16, more than one week after the injury! This is unbelievable to me. I have HAP in Michigan and consider it to be less than adequate but they have it 100% over Aetna. On another note, a couple of years ago my mother-in-law's health coverage was arbitrarily cancelled by Aetna at age 90! This company should be closed down!!!

The hold time and costs of plans are ridiculous. One time it was three hours in total and all I needed was a print out of what I paid for the year. My plan was 2016, covers nothing as it's subject to the deductible. Stay away from this company.

Neurosurgeon try to get approval for ACDF but Aetna will not approve surgery in manner surgeon wants (anterior, artificial disc, cage vs posterior, bone graft, no cage). Aetna reps not knowledgeable about appeals process, telling me different time frames--take 20 days, 30 days, no right to external appeal, told me there is. And getting an address change? Next to friggin' impossible. Requested 5 times--still not changed. Can't wait to opt out. HATE AETNA SO MUCH!

What is on my mind is that Aetna Insurance has not yet paid a claim for a doctor that provided a service for me in May of 2014. This came to my attention as the doctor is now billing me for the amount that Aetna has not yet paid. I totally agree that it is way past due. I called Aetna and spoke to nice people who lied to me very nicely and to a person said, "Your claim will be processed in seven to ten business days." I was told this on December 30, 2014. And on December 15, 2015, and Dec. 23, 2015. And on Jan 4, 2016 and believe it or not, again on Jan. 11, 2016. But this time she said, "Really, I mean it." Not one person said there was a problem I should address. Not one specialist that I was connected too told me that Aetna would not pay, they all agree Aetna will pay it, in... you guessed it. 7 to 10 Business days.

Trying to get divorced but my spouse must carry my health insurance until it's over. AETNA would not change my address to ensure my spouse would not receive my EOB until I talked to about ten people and spent five hours on the phone and they STILL have yet to actually make the change. They keep telling me it has to go through my estranged husband, which is absolutely impossible. So, they are sharing my protected health information. Also, I have a court order to change my last name but they say my husband must authorize that as well. I had absolutely no issue when his employer was with United Health. I would definitely stay away from AETNA if possible! They are horrible and will break the law and share protected health information!!!

My rates and what they actually cover for the exorbitant cost should be outlawed - $1122.00 a month for my husband and me. We still have to pay for any blood work, tests and all prescription costs and a trip to the ER left us with a $2000.00 bill. As soon as I find other insurance, I am dropping Aetna without looking back.

Joined Aetna about 3 weeks ago. It is now jan. 9. For 10 days I've been trying to get an ID card. Tried to activate account to get ID card. Answered questions and got a message that it couldn't activate account and I needed to call them. Called number and chose the call me back option because wait time was too long. Did this twice, been 4 days, no one has called yet. Two phone numbers and only useless virtual operators answer. They'll take your money but won't provide any service. Will start looking for a new insurance company tomorrow.

So I call Aetna at the 800-892-8043 member number for a SIMPLE question of wanting to find out who to call for a specialty being they no longer use who they put on the back of their ins card provided to me. The guy turns this simple inquiry to me needing to just go log in to my site (my little child is curled up asleep on my lap, NO) so he can assist me but thinks now I turned into a physicians office vs a member. Huh?! No, I am a MEMBER looking for a number to call to locate a specific type of provider for a child. Now he wants details... Are you ** kidding me?! I told you what number I need, it's NONE of your damn business why I need to find this doctor nor am I asking him to find one for me. I ended up pissed and telling him I'd figure it out later and hung up.

I was left on hold for over 2.5 hrs. Then told their tech support was working on website. No ID cards after paying premium 4 weeks ago. Nightmare.

Hold time is hours- pay well below cost and since they are part of Caremark think other Caremark insurances offset the loss from Aetna!!! If you support your pharmacy and the care they give you stay away from this company! Hold time and customer service has to be one of the worst in the industry.

This is a horrible company. Canceled coverage in the entire state of NY without notifying customer. Only found out I wasn't covered anymore when I couldn't fill a prescription. They should not be in business, and US healthcare is a joke.

Aetna Insurance as the administrator of our health scope account is useless, not due totally to them but the fact that under ObamaCare nothing is covered - your deductibles are so high that all the money we pay in goes to pay for all the lazy people that don't work. We'd be better off to just have catastrophic insurance because in essence this is what we have. This company constantly denies my claims and even denies that I am covered under my husband's plan. I hope the idiots that voted for Obama are satisfied. He and the losers in Congress that passed this bill don't have to be under ObamaCare so they will never feel our pain.

I have tried to deal with Aetna since December 9, 2015, it is now 1/4/2016. They have given me the runaround, will not respond, been dishonest. I used to work for physicians and am used to dealing with Insurance, I have never been lied to as much as I have with this company. I will go to the state board of Insurance and the Insurance Commissioner. I pay for the insurance and they will not respond to our questions. They now say we are not entitled to hearing aids because we have had them in the last 4 years. Our plan allows for hearing aids every four years. It has been 8 years, they are stalling to avoid paying for the hearing aids. It is a benefit and they have no right to not pay. They are a joke.

My story is too long to tell -- months of trying to change from one Aetna Plan to another. I have NEVER experience such a poorly coordinated company. One customer service rep has no clue, another entered so many typos that next agent couldn't even find me. And don't bother emailing them. Each agent is nice once you get them so you think all is well but, NO. You have to be on hold for over an hour again and again.

I was informed through my OPERS account that I had retirement medical reimbursement funds of 1034 dollars in my account. I thought, "Great, this is really gonna help me out." Aetna hung up twice. I spoke to at least 4 different people. They lost my paperwork twice. I finally just decided after 1 month of arguing to just let it go. What a shame that a company can do this to people that have earned a benefit. What a bunch of lowlifes.

First off, the only reason we got this health care was that it was the only insurance offered through Spherion where my husband works currently. It must be said that Aetna is a professional scam artist as in their contract they have it worded so that you are paying whatever outrageous amount they give you EVERY time you get paid. Therefore, there is no monthly amount.

I have had problems with Aetna for 15 years. I call them because of problems at least 3 times a year which then takes about 3 weeks to 1.5 months (or longer) to rectify for the time being, then the problem rears its ugly head again or we have another issue. This includes not being able to get medication or having medication sent to a wrong address (in another state) and receiving wrong information many times. Aetna's customer service either in person, or via their "contact us" email is continually apologizing but they don't help take care of the problem. We stay because it's the best the company offers.

I have not had even one positive experience with Aetna administering my claims. Each and every claim has been an issue and has taken hours to resolve. The current issue has now been going for three months and I am back to square one due to Aetna inefficiencies.

I recently got on Aetna better health due to finding out if was pregnant. I also knew my OBGYN who I've gone through before when I was working, accepts it, but I could not qualify for the other two insurances that she takes as well. I recently had a cold with severe congestion. I felt I could take care of it myself, which I was able to clear the congestion but not the cough. Now it is going on a total of 3 weeks, and the coughing has got so bad that it almost forces me to throw up at times. I was told a cold going on 3 weeks is not a good thing, so I tried to go to a near quick clinic but they refused my insurance. I did not try the PCP listed on the card since I knew it might take a while to get seen but at this point, I decided to call.

Aetna assured me multiple times that my grandchildren would be covered for 31 days following their births to my daughters who are dependents on my insurance. They paid the claims for my grandson but continually denied them for my granddaughter. They were born in May and June. A representative even wrote a letter to a pediatrician's office telling them gd was covered. Now in December they claim they paid grandson in error and have retroactively denied his claims! I have been placed on hold for up to 30 minutes, been talked to rudely, and denied the ability to speak to a supervisor! This insurance company is the worst!

A claim was processed incorrectly, and the payment I was waiting for went to the doctor! This is a claim I file on a regular basis using the superbill the doctor gives me, since he is out of network he doesn't participate with Aetna (can't say I blame him). So I called to correct it, was told it would be reprocessed in a few days, and the money pulled from the provider. A week later I called to check, and was told it was reprocessed again incorrectly, and were giving me reasons why which were not given by the first person who stated it was "human error." This time suddenly I needed more documentation than the usual superbill which is exactly the same as always, and I get the check always. After various incompetent people (I must say I agree with Sam of Plano TX but it's more like ghetto talk) one representative took it upon themselves to call my doctor and ask him to just give me the money instead of them doing their job, how unprofessional is that?!

Signed up for Aetna's health care policy that was supposed to start Jan 1. They started billing me immediately instead of waiting for January. They would not issue me a refund or set up billing to start correctly. I had to cancel the policy entirely.

Our young daughter was on a trip abroad and had a medical emergency while there. Thank God she was taken care of by professionals at a hospital. The trip was spent in a hospital room though, which ruined a dream vacation for her and her mother. When they returned to the U.S. after having to spend an additional week there to recover, my wife made a claim to Aetna for the charges she had to pay for personally. Lots of out of pocket charges.

My parents just received their information on the new Tier 1, Tier 2 set up with Aetna. It is horrible. They are elderly and now have to drive 15 miles to a location to get their medicine instead of where they used to go to CVS just a couple of miles away. I just don't understand how these insurance companies can structure things so that they force people, who do not have the means to go far, to go farther, drive farther. Now the hospital they have been going to is now tier 2. With the illnesses and visits to their hospital now will be changed? Doctors that know my mother, in particular, case. Just absolutely disheartening what these insurance companies, especially the big ones like Aetna, are doing to our people.

Before ObamaCare Aetna wouldn't cover my disabled son. They repeatedly lost all the forms I sent them for close to a year. Last year I tried to have a procedure after my deductible was paid but they drug their feet on authorizing it till the year was over and I had to pay for it myself. Now I need a CPAP machine. They wont cover it. They say I have to rent it over a 10 month period which should be just enough time to use up my money to pay for the deductible by the end of the year. And then If I want to use my insurance after the deductible is paid they will drag their feet again until the next year. Well after I finish paying for my CPAP machine I still won't own it. If I change insurance they take it back! I pay thousand of dollars... At least 5,000 for premiums and deductibles and then this is what I get. Can't stand Aetna... Worst Ever.

After receiving an offer letter for a new company I was excited to move into my new position. During the hiring process I was informed my health provider would be Aetna. I have always been with Blue Cross Blue Shield, a fortunate member of an amazing health provider who really takes care of their customers! After enrollment of my benefits I was explained that I would have in-network doctors to utilize, but being new to this provider I made sure to do my research on their process. Keep in mind I am never sick and very rarely have to go to the doctor's outside of annual checkups, which was to be covered by Aetna with my plan outside of the co-pay which is to be expected. I was at work and started feeling sick, dizziness specifically which will eventually be determined to be vertigo, so naturally I called Aetna to see which doctors were covered in my plan in my area.

The worst customer service on earth. Called and was hung up on 4 times. I can tell you it's a bunch of ** that talk their language and just there for a pay check. Not politically correct, just the facts. Run!

My husband was admitted to the hospital with a COPD flare up. After a week in hospital, the hospital requested he be moved to Gaylord for rehab. Claim request denied. Aetna felt that husband could receive care in hospital. Hospital does not do rehab. He can't walk 30 feet without his blood oxygen dropping to 73. What the hell kind of medical directors do you have that would deny inhouse pulmonary rehab in a facility that specializes in it and is on your plan? At this point, Aetna by their denial of claim, is causing a serious problem in my husband's recovery by not allowing him to go to a facility designed specifically for his issues. Their phone representatives are rude and have no interest in resolving this. Companies like Aetna should not be allowed to operate if they can't provide coverage according to their policies.

I had Aetna Med Advantage 2 years ago. I take 7 meds. Aetna made my meds Tier 4 and 5 which makes drugs cost 2600 for all HMO's and PPO's. I checked all 36 other plans. My meds were Tier 1-2 cost 1400-1600. Go with other companies - compare Aetna. Ripoff.

I am doing my internship in Chicago and during the year, I had some health problems and I needed to go visit the Physicians Immediate Care. I paid my 20$ copay for visiting and today I was informed that the charges about one of the days I walked-in is against my responsibility and I need to pay an amount of $374.00 because it was billed by the "routine code". Well, now my question is: Why they can charged me this amount if I was never asked about what I was treated for?

Writing for my son-in-law as he remains too sick to do this. He has seen two specialists (gastroentology) which have ignored him even after multiple calls to find out results of thousands of dollars of testing. He has been sick for almost 6 weeks and cannot eat anything without severe pain. One specialist, after a cat scan even told him that he should just go to emergency. Worse service I have ever heard of from an insurance and the doctors they represent.

Aetna informed me, without explanation, that it is not going to renew my grandfathered health insurance policy. This means I must find another which is likely to be twice expensive, or else go to a health sharing program (currently looking at Liberty Health Share). "Aetna: Not There When you Need Them" would be a good summary. I can't give it only one star, though, because it did work well for me when I had it.

I have had a horrible time with Aetna and am grateful my company is changing insurance companies. They have inaccurately put holds on my account, stopping me from going to planned appointments when I first scheduled them. They have denied claims because it was not the main service. We were on a cruise and needed to go to the emergency doctor. They covered only part of the service because "the IV and medicine was not an essential part of the treatment." It has been a nightmare. They are not open any Saturdays and often are closed on lunch for team meetings (as stated on the automated caller).

I have two insurances, Cigna as my primary and Aetna as my secondary. I have see very few errors with Cigna but the amount of errors with Aetna is very upsetting. Aetna's EOBs are misleading and they do not give the correct information, then the reps don't know what they are doing most of the time. I have been told that a claim was paid over and over again by Aetna so I did not pay the bill thinking that Aetna would clear it up with the provider; only to find out that I have been sent to a collection agency because of Aetna misleading me into thinking they had paid the bill.

The game is this: The staff go over these bills with me (one by one) and then argue that they should have to pay it because of my deductible. To each operator, I clarify my policy. They put me on hold to investigate my policy (7 to 15 minutes each time) and then admit that they are responsible for 80 percent and the invoice will be re-submitted. This monthly phone call is never less than one hour and is rarely fruitful. Sometimes they will pay half (like a few of these), and every so often don't pay at all. Again, prescriptions are promised to be paid at 80 percent no deductible. We should not have to fight this fight every month.

I was told I had shingles. I called Aetna and was told I didn't need a primary care doctor. I was given the name of primary care doctors who could not give me the shot. One was a breast care doctor, one wrong number. Start-up Monday. One suggested the health clinic. I call again and told to go to CVS and get the shot. The first CVS says it won't happen and then the computer won't work. The next CVS says I have to be sixty years old. Another call to Aetna and I go to Walgreens. They say no I need a prescription. Another call to Aetna I break down and go to a primary care doctor. He says I have shingles but can't give me the shot - the shot that was my only reason for the visit.

Viagra/ED Meds - Husband and I went to pharmacy to pick up his prescription, which is normally $45 for six pills. As if that isn't bad enough, we were charged $245 for the same SIX pills. We left the prescription there and my husband was humiliated. Upon inquiry to Aetna, he was informed that they will no longer be covering "lifestyle" drugs. WHAT? Since when are "marriage relations" unnecessary? We are clueless as to what to do. My husband is about to resort to some "unknown" drug company for "knockoff" brands. I'm afraid they are overall unsafe. According to Pfizer, we "make too much" money to have help in obtaining the medication. We are devastated and frustrated. No one seems to be able to help. And shame on Aetna for doing this to their customers. We have had Aetna since 2008. This is the lowest of the low as far as I'm concerned.

I have yet to have a preventive services covered by Aetna. Their marketing sounds great that you get eye exams, hearing exams, etc for no cost annually. However it seems that the providers I go to can never find the right codes to be able to have the exams covered. Today I contacted Aetna about one of those cases and the woman I spoke with was extremely rude and argumentative. Although the provider indicated to me that they had coded for a routine exam Aetna says that is not the case but they cannot give me specific information so that my doctor's office can make a correction. Although the doctor's office said they would be glad to do so the Aetna representative told me that doctors never do that kind of thing and I would just be stuck paying for the visit. Thanks a lot Aetna.

Aetna never seems to get any paperwork faxed to them whether it be from myself or my doctor. Then they shorted me a paycheck. When I called the rep continuously talked over me and told me I have to wait a certain time period before they can stop payment on that check and reissue another which may take up to another month. This company is a horror to deal with. Always some excuse with them and their customer service is ridiculous! No wonder they always have such bad reviews.

I got stuck with a $40 copay, because according to Aetna, STD testing is "diagnostic" not "preventative". This was after months of back and forth with customer service and filing an appeal, before I finally gave up. How is STD testing not preventative?

For my plan, they are now based on Medicare rates for reimbursement... what a joke. That means the cost of my visit is going up by 100 per visit and this is someone who I see several times a month. Aetna was previously sued multiple times for under reimbursement for out of network claims, and out of that settlement helped create the FAIR Health database... but apparently they are not obligated to even use it! I say sue them again and force them to use the FAIR database for appropriate reimbursement.

This company exists for the sole purpose of declining/denying claims. I cannot believe anyone would rate this company as even marginally acceptable as an insurance provider. I HATE Aetna.

So I break my collar bone and my sports medicine doctor recommends an ultrasonic bone treatment to accelerate healing... Aetna denies the procedure... but informs me that if I smoked or I was obese with diabetes 'COMORBIDITY FACTOR' they would cover it. In essence I am being penalized for taking care of myself. Go figure... Sort of going out and buying a carton of cigarettes and a few pounds of fudge. I'm at a loss.

My doctor had prescribed me a medication that need preauthorization. Once the preauthorization form as filled in the coverage was denied. Aetna denied it because alternatives were cheaper according to them. The thing is being a type 1 diabetic I cannot take the alternatives that they recommend. They also said I must take 2 of the recommended meds from their list before being considered for the one I was trying to get. This means I should take 2 drugs I can't take in order to take 1 that I can. After a per to per chat between my doctor and their medical director coverage was still denied. Their decision making process is obviously not medically informed since I now have to appeal the Medical Directors decision. All this because the drugs they mandate I take, I can't.

I am fed up with Aetna and its appeals process. My husband works for The New York Daily News, and under his Aetna insurance, we are facing a $1,500 bill for a preventative routine biopsy: The ultrasound clearly saw milk in a milk duct due to breastfeeding. The biopsy was done at Lenox Hill Hospital on Dec. 17, 2015, which billed Aetna $12,000 for the wrong diagnostic code: A specific medical diagnostic procedure. Aetna backed the hospital in my first appeal. I requested a second-level appeal by a letter via mail within 60 days. Aetna Appeals Department didn't get the mail. I then was told by an Aetna rep to fax it over. Aetna Appeals failed to get the fax. Then, a rep himself faxed my appeal letter. Aetna Appeals says the case is closed, because I didn't file a second-level appeal in time.

For some reason (I still don't know why), my coverage and benefits have not been updated. I have emailed customer service FOUR times now asking the same question, even sending screen shots of the outdated coverage and benefits. All 4 times I receive a pre-written standard reply telling me where to access my coverage and benefits. Nobody over there actually listens to you or is helpful. They even send customer service surveys and when you complain they do nothing about it.

Primary care Dr. referred me to a urologist for possible prostrate cancer screening. For diagnostic testing, and monitoring, Aetna denied a charge for a PSA test. Why doesn't Aetna just put me in the grave and get done with it.

My wife was critically ill last Christmas. We had to transfer her to a level 1 hospital, I called AETNA to ensure the new hospital was in-network. The agent assured me it was. After my wife's 7 day stay (3 in ICU) I received a bill from AETNA saying this hospital was out of network. I asked them to listen to the recording and filed a written appeal. They take 30 days to respond and you can't call the people making the decision on the appeal. You must speak with a regular agent who takes 20-30 minutes to get up to speed.

They send letters and demanding information. When I call, they say no information is needed. Any claims information they tell you is incorrect. Ask for a supervisor and none is available. They do not return messages. Hold times exceed 30 minutes. Never use this company.

On March, we did our annual Health Screening required by AETNA. The coverage started on June, but they started to withdraw from my payroll $23.10 per pay period. I called several times and always they said it could take 7-10 days. Today, Sept. 2nd, 2015, I spoke with Tracey, but she said that is not their problem. When I asked for a supervisor, she transfer me to a voice mail. That was one hour ago!!! And still waiting... I don't recommend this insurance. It's the worst I ever had. Unfortunately, the insurance is provided by my employer. :(

My husband had Aetna Pharmacy with his previous employer. My doctor called in a script at the pharmacy and when I went to get it, I paid the usual amount $25 for the medication, my husband just before he got laid off. Then the following month had a refill done and it was the same amount so I paid it (after husband got laid off). Then we get a bill in the mail from Aetna Pharmacy that we owe them $110 for medication that they paid by accident. Well it's not our fault that those idiots at Aetna paid. They were quick enough to cancel the insurance but not quick enough to check the payments to the pharmacy. I don't think we should pay for their mistake. Now they are reporting this to the credit bureau and will affect my husband's credit report because of their stupidness and careless actions.

I left Thomson Reuters with long term disability for anxiety and depression. They gave me a pension plan and Aetna insurance in 2012. In 2013 I got Social Security disability benefits. October 2014 Medicare and was told by Thomson to refuse part B to keep insurance benefits till 65. I'm 53 years old now. Aetna only covers me like I'm getting part B. AETNA is not a supplement. It is primary and all I have. I need attention by a mental health professional. This problem keeps getting worse. I am insured for no part B. Thomson Reuters and I pay each month and the coverage is almost none and are they committing Medicare fraud if a lawyer wants to go for it help. They are making me worse.

I have had Aetna for over three years. They challenge every bill. They refuse to pay any of my bills for months on end. Last year I went to an Aetna approved laboratory Quest for a blood test. The lab didn't do the test my doctor asked for but did a similar test which my doctor approved. Aetna refused to pay the bill citing that the test was one they will not approve of! This answer after getting a different answer including "I do not know why they won't pay the bill Mr. **!" The last bill I received had been waiting for over eight months to be paid!

I signed up for Aetna Medicare Advantage in Nov 2014. The doctor of orthopedic surgery was on the published provider list of Aetna. When I arrived at the doctor's office in February 2015, the staff informed me that the doctor had dropped Aetna in 2012. A grievance/appeal was sent to Aetna and I received the response on Aug 20, 2015 stating that the doctor did not let them know he no longer accepted Aetna and it is not their problem. So how many other doctors does Aetna have on their database that really aren't covered? Talk about a scam, but they have no problem taking my monthly premium. I have sent a complaint to Medicare, hopefully they can stop this felonious activity.

I signed up for this particular plan after significant research. All my doctors accepted it. I pay nearly $850 per month for coverage. Every time I have a routine check-up, blood work, or an annual test like a mammogram, I am gauged with unexpected charges. Usually, they will say I never obtained a referral from my doctor even though I had. (My neighborhood lab would never agree to do a mammogram or breast sono without one.) After virtually every doctor's procedure or routine test this happens. There is no transparency with this company. I get a bill from Aetna that I have to immediately contest or appeal. They have set up their appeals process so this is standard protocol and no one is policing them. It is completely unethical. I see others are making similar complaints on this site. Someone needs to look into it immediately.

Before I bought this insurance I checked the site to make sure all my doctors were covered. They were. After I got on the plan, and went to see a doctor, Aetna denied the claim. I discovered that I couldn't go see her because her facility wasn't covered! I found I can't see any of my regular doctors, whom Aetna said they covered on their site, because their facilities aren't on the plan! I feel like this is misrepresentation and FRAUD on Aetna's part. I paid for the very best platinum plan and I am throwing my money away every month because I can't see my doctors. It gets worse with this new information - I discovered only ONE hospital in NYC is covered with this plan. I am extremely angry and feel I was duped into paying top dollar for such a shoddy plan.

Aetna tells you that all you have to pay for Urgent Care is $50 + 80% co insurance. When I called them to find an UC provider, they asked me to call a nearby one and check if they accept Aetna. Later on the hospital sends me a bill saying I have to pay much more. When I call Aetna they say "you should have asked the hospital if they contract with Aetna as opposed to just accept Aetna". This is bad on Aetna's part. They never told me that when I called customer service. They then intentionally make you send an appeal through snail mail - so you are not motivated to do so because of the effort it takes. That's the only way you can appeal for any wrong bill they sent you.

We paid 386 dollars per month for a family plan. We were on the family plan for three months. That totals to $1,1158.00 out of our pocket - and right into Aetna's. My routine physical at the doctor yielded a 100.00 bill due to Aetna's refusal to cover the office visit. Now the grand total is $1,258.00 for us - for a routine physical. An Aetna call center agent said my family care physician was a neurologist, ergo my routine physical examination was a "specialist visit" (I am not kidding). Ergo, that's why they kicked the $100.00 back at us to cover.

I continued coverage w/ them after leaving the employer I initially received coverage with. They immediately denied any medication despite having been on various medications associated with the approved use prior, and took 2 months to accept my appeal (all the while I was essentially paying $400/mo for nothing.) After this first appeal, they contracted out The Rawlings Company to harass me surrender information about health insurance I had years ago (which I no longer have information about since it was my parent's plan), before my current coverage, threatening to cancel my coverage if I was unable to. Joke's on them. I already cancelled my "coverage" and they will not see any more of my money.

This is my second year with Aetna. Last year my family had a POS, and my husband, 2 sons and myself were covered for approx. $200 month premium (not including the government payment according to the Affordable Care Act). This year, only two of us needed to be covered, one of my sons and myself. The ACA insisted that my son have his own policy which cost us about $20 a month. My policy cost me $200/mo., the same that we paid for four people last year! I also switched to an HMO in order to keep costs down. I am 64 years old and am in excellent health and work out vigorously 4-5 times/week. I actually lead a healthier lifestyle than my son and consider the 1000% markup on my premium discrimination according to age.

I've had a series of dismal experiences dealing with Aetna, purely as a Plan Administrator. The website is balky and mostly useless. Changing even something as simple as the billing address is impossible. I needed to email my change - not possible online or even by phone. Our plan was once credited with someone else's $7000 payment. I had to spin my wheels trying to get Aetna billing to acknowledge and fix their mistake. I never got so much as a "thanks for noticing our SNAFU, oopsie, our bad" from anyone at AETNA. What is wrong with this company?

I've had many insurance companies over the years. Aetna is the worse. My doctor who is with Aetna recommended a test I needed to have. First thing they do is deny the claim. Not only did my PCP doctor order it but my cardiologist also wanted it. Why is this company not investigated by the Local, State, or Federal Government? Now I have to appeal this claim. I bet they do this with most of their customers if not all. Is this what I have to look forward to with Aetna? I guess so.

Beware of this company. They do not deal honestly. They base their judgments on 4 min of recording after 3 years. They do not take into consideration the medication you're under and will be for the rest of your life because of injury on the job. They also have no clue what my job description was. Their logic and wording of their responds is written and It's my first hand knowledge that the company and Aetna care very little about you or me. Since filing a civil suit against the CEO and the HR VP in a federal court They have left the company. I've sat in on conversations where the doctor's reports are dictated to them by the heads of safety. I believe that they don't study the facts or look at the big picture.

Called an Aetna representative after finding my surgeon was not on their plan and was given a name of a surgeon for another specialty entirely. Second instance a different surgeon's staff called to verify benefits and was told they didn't have Aetna. He became very stern with the Aetna representative and said "I need to talk to your supervisor right now. As while this patient's Aetna plan may not provide coverage we do see patients with Aetna". Finally and fortunately, he talked to the supervisor. It was found that I did indeed have coverage. Seems to me their first response is to say "no we do not cover you".

On 12/3/14 I called the number to verify coverage that is provided on the front of my insurance card. I spoke with Mel, who instructed me to call the Patient Management number. I was provided with the number 1-800-333-4432. Upon reaching that department I spoke with Peggy. I informed her that I would be having a procedure on 12/9/14 to determine if further surgery would be necessary. I had been having recurring bouts with diverticulitis for almost a year. I told her I was calling from Alaska and that I understood that doctors and facilities were considered out of network up here. I gave her the doctors name and name of the surgery center. Peggy advised me that I had been assigned the case reference number of **. She also told me that number would be the same for additional medical procedures should that be necessary. She assure me that I was all set to proceed and that my insurance was in place.

Other insurance companies, like MVP, BCBS, etc. do not push you into the donut hole until you have reached the $ limit, however Aetna does apply the higher prices to medications at the beginning of the new quarter during which the donut hole is reached, whether you have taken the expensive medicine or not that pushes you over the limit. This is not what Medicare intended. Also they do not have their own mail order pharmacy. They are using CVS. Checking retail pharmacies actually gives better pricing in the donut hole than mail order, which is not the mission of mail order, but at Aetna/CVS ANYTHING IS POSSIBLE.

Going into labor, seeking nothing but the safety of my unborn child, and as directed by my doctor, I went to the nearest hospital for a safe delivery. My plan covers maternity care and birth 100% but Aetna does not want to pay or assist me in paying the bill because they do not consider labor an emergency. I have been a customer for years, and this type of treatment saddens me. I am working on my credit for my family, and now I am being slapped with huge bills that have now entered collections.

A warning: if you are an Aetna subscriber and receive a letter offering a free home visit from a company called Verisk, do NOT accept. Verisk is not in the healthcare business. They gather data in order to minimize health insurers' coverage. I received a letter offering a "helpful, free" home visit. Aetna makes it sound as if Verisk will help you with making your home and life easier. They even want your significant other present. But be warned: they actually just want to figure out ways to deny your claims and raise your premium. Verisk is not a healthcare provider.

My son has an Aetna HMO plan through his employment. In addition, he is covered under our Aetna PPO plan. His medical claims have been rejected by the Aetna PPO because they need to be submitted to the Aetna HMO first. I called in 2/5/15 and spoke with Senior representative (SUPERVISOR) Cheryl who looked over the claim and told me she would process them through the HMO first, then process the balance throughout the PPO. Cheryl said it would take 5-7 days to process through the HMO, then another 5-7 days to process through the PPO. She told me she would call me (took my phone number) in two weeks time - giving me the date of 2/20/15. Never received a call, I contacted Aetna again, spoke to Gail. She saw that I had requested the claims to be routed to HMO, then to the PPO. She said she would call 'within 24 hours". She never called.

I tried to sign in for the over the counter program. It keeps telling me the ID and zip code doesn't exist. I have tried calling different numbers to find out what is wrong and they just keep passing the buck, I have been passed around so many times I just gave up. I will never recommend Aetna to anyone!! I am now looking into finding a different insurer. Aetna is lousy and it sucks!!

Aetna claims that my annual physical bloodwork is 3 procedures not covered and that I owe $84.35 instead of paying the blood lab. I have gotten the same annual preventive blood work for over 10 years. This is my first year with Aetna - they are crooked and unethical. Aetna failed to pay preventive flu shot of $29.99 covered under health plan at Walgreens. Aetna failed to pay prescriptions covered by law with health care for birth control and hypertension purchased on the day of my flight to start my first day of work. They claim not to cover weekend days even though I technically was already starting work and Walgreens said they should cover 2 days before my start date. I would have waited to pay for these prescriptions following but I was worried about my blood pressure for flying across the country in the amount of $180.

This year Aetna changed my plan at the beginning of the year without notifying me. I pay the same premium but now all my deductibles duplicated, and the pharmacy plan changed, so now I have to pay for the medicine of my son $400 for each prescription. I cannot change insurance until 1 December and Aetna took advantage of it.

Aetna supplies a fax number for people who make appeals. I have a situation where they will not resolve a payment issue with our doctor for services rendered 7 months ago! I have been faxing copies of the same complaint for 9 days now and there is still no acknowledgement from Aetna that they even received my fax. I publicly complained to their Facebook page and 2 days later, was told my problem would be 'forwarded' to the appropriate department. This is all fine, but I object to a company that refuses to even acknowledge you exist. I'm clearly very easy to get a hold of, they have my email address.

My mom had Medicare with Aetna as a secondary insurance for many years. The new Obama care changed that to Aetna Medicare. The coverage is HORRIBLE. My Mom for the last few years had to get Prolia shot for Osteoporosis that she has suffered for approximately 10 years. When Aetna became Aetna Medicare we were told "nothing changed everything will stay the same". LIE!! The shot my mom was getting for years now they refuse to pay for it. The Dr is out the money and that is ridiculous. Meantime I had to fight for over a year to get approval for the Prolia shot so she deteriorated rapidly which can never be gotten back.

October 2012 I had my gallbladder removed. Had been sick for several months leading up to the surgery. It took me 3 weeks to bounce back to the point I wasn't sleeping all day everyday after the surgery. My job wouldn't allow me to return until the doctor released me 3 weeks after surgery. Aetna said 1 week was all they allow for this surgery and since the way it works is I have to be out 1 week for the short term disability to kick in. Technically they didn't have to pay unless there were complications like infection. If my doctor says I can't go back to work for whatever reason related to the surgery who is Aetna to say differently? Trust me if I could have gone back to work I would have.

We tried pre-authorising a GP visit for my husband here in Hong Kong. We spent an hour on the phone to Aetna - couldn't hear the person at the other end as the quality of the line was so awful. The "24 hour" service number didn't have access to his policy details - they said we needed to call Member Services and gave us the number. It was the number we had dialed. Then they said they'd try to put us through to Member Services, but MS didn't accept our call!!! (It was outside of business hours in the UK which is where our office is based as we're from Europe.)

I had my first child in October of last year. What should have been a very simple process has turned into a nightmare. It states in my contract that we are responsible for a $500 deductible and a $240 in-patient hospital co-pay, which should mean that we pay $740 for my hospital stay when I gave birth. However, we got a bill for over $1,000, and I have made at least ten phone calls to Aetna and to the hospital billing department to resolve the matter. They keep telling me that they are "reprocessing" the claim and to give them 5-10 business days. I have been calling since January about this.

I have been ripped off by Aetna due to their low-balling of customary or prevailing out of network rates (when they have no competent in network providers). I am inquiring if others are experiencing the same for a possible class action.

Aetna don't treat me like an adult, who goes to the doctor, paid her bills and make her own claims and like to receive her money back in her account. Because of my husband is the primary insured the information about my medical services are sent to my husband as the payments for my claims. After protesting they corrected but keep going back to send it to my husband. The information available in their website regarding my claims doesn't provide the current status of the claim: if the payment is in process or was paid and to where was sent. I have to call and spend time clarifying every claim. The phone service is correct but my time is valuable. After reading other claims about Aetna actions in your website I feel like this is not the most important issue but still is not the best way to treat the adult family members of the main insured person.

I changed my coverage to Aetna because it is the insurance provided by my husband's company. They refused to cover my migraine medication, resulting in a $500 copay. My Dr. and I demonstrated via paper trail that the generic medications do not work on me (I wish they did) and if I take them, my migraine is as bad as ever, almost to the point of going to the hospital for pain. In such scenario, a good insurance company should give a brand liability waiver, which would enable me to receive the only medication that works for me at the rate of a generic, since it is not a personal preference but rather a "the other medication does not work" preference. The Dr. and I demonstrated that it is not that the generic does not work as well, but rather does not work at all.

I signed up in December 2014 by the deadline for Medicare. I received a letter from Aetna saying: I won't be covered in January 2015 because I opted to have my monthly premium out of my monthly social security check. Social security didn't approve the premium deduction until Feb. 2015. Ergo, Aetna sending the aforementioned notice about Jan. 2015. For months now Aetna has been harassing me for the monthly premium of Jan. 2015. IS THIS LEGAL? DO I HAVE TO PAY? PLEASE LET ME KNOW.

I have degenerative disc disease and had lumbar fusion L4/L5/S1 in 2010. Recently, while walking up the stairs I pulled a muscle and decided to treat pain at home with heat and pain meds. After four days I could no longer stand the pain so much that I felt terrible pain in my lower back that made me cry; it hurt so bad. I decided to go to the ER at about midnight as I could not sleep and felt that maybe something more serious was going on. Doctor at ER gave me pain meds and conducted spinal X-rays and suggested I see my surgeon for follow up because he could not see anything seriously wrong with X-rays. To my surprise I receive a bill from Aetna indicating they have refused to pay the ER visit indicating that in their opinion this was not an emergency.

In my opinion...AETNA is the WORST company on earth. They make life VERY difficult for someone trying to obtain a prescription. I hope this company goes out of business. They exemplify what is wrong with America's health insurance industry. They are the poster child for bad customer service -- very confusing website and phone system, cumbersome forms, and are very expensive. I hate that I have them as an insurance provider and will be looking to switch to a better carrier soon.

My daughter is required to use Aetna Specialty Pharmacy to get her Prograf needed to prevent rejection from a bilateral lung transplant. They do not bill her secondary and do not provide the generic she can use so she has to get name brand and pay $250 a month for that one med. If they would allow her to get it from our local pharmacy she would only have to pay $2 a month because they will bill her secondary and provide the generic she can use.

Early this year, my employer switched from Cigna to Aetna Insurance. With Cigna I had gone thru several procedures and ultimately surgery on my lower back, not to mention all the prescriptions, all with NO issues! Ever since we switched, I have had NOTHING but issues! Two years after back surgery, I'm in pain again and Aetna declines the prescription my doctor writes to help the inflammation in my back and hip joints! Then they decline the MRI first stating the doctor never got authorization, but when I called the doctor they had a case # proving they had called it in! Then they stated it was denied as the doctor didn't send enough info when the doctor had sent all of my info from my last several visits! This company is by far the WORST insurance company l had ever had to deal with. Why do I pay for a premium insurance plan just to have everything declined???

When I was hired to my current employer, part of my hiring package was a detailed description of my medical insurance benefits. These benefits included IVF procedure with no exemptions. My spouse and I are infertile and sought IVF for family planning in order to conceive a child. However, after an audit by Aetna while my spouse was receiving fertility treatments, it was disclosed that since I had an elective sterilization procedure 24 years ago that my spouse who has never conceived a child was immediately dropped from all fertility coverage. I am appealing this decision and consulting an attorney. My spouse is being prejudiced against by Aetna against a decision I made 24 years ago in another marriage!

I process claims for a local eye clinic. Aetna has always been slow at paying claims, but they have came to a halt in the past 30 days. I call and call and all I am told is "still processing". Are they broke? Why don't they seem to be able to pay for legit claims? I read some of the stories on here and cannot believe how horrible they treat their members. Good luck to all of you.

When my children were little in the mid-90's Aetna routinely denied legitimate claims that I had to constantly fight, receptionist, non-medical people were deciding what was medically necessary and it got to the point - everything was unnecessary, even their routine vaccines and annual visits or illnesses. I became so tired of this that I had their police detective dad change his policy to another insurer. I was approached in 2012 by an agent for comprehensive care who assured me Aetna had changed substantially. I did not do my own investigation accepting his word.

After starting a new job, had to choose Aetna instead of 20 years with bcbs. My medication was covered for 7 years under bcbs. Aetna declined to pay for my meds stating I need a sleep study. Which they will not cover either. I have narcolepsy and I have no trouble sleeping. It's while I am awake I need the medication to work and function. After losing my sight, having that miracle, and having 2nd miracle to make my quality of life what it should be, has been something that has allowed me to work and provide for my daughter. I am all she has. No family should have to choose between quality of life and financially destroy everything I have worked so hard to get back. Thanks Aetna for stealing my miracle and my daughter's mother from her. This healthcare should not be able to override my doctor right to get me healthy and keep me that way.

After paying for health insurance coverage each pay day, Aetna has the nerve to force me to have a blood test to prove whether or not there is nicotine in my blood system. WTF?! I pay for the health insurance coverage whether I smoke or not. I bought the insurance when I smoked. I no longer smoke, but even though I pay the premium for a smoker, I am required to have someone stick a needle in my vein to prove whether I do or not, so they can surcharge me $1,200 more if it is positive. It won't be positive, but I object to some insurance company forcing me to have a medical procedure for their benefit! Thank you Obama for making health insurance so affordable to those of us who actually work for a living! How much campaign contributions did you get for that 2200 page fiasco anyway?

I simply need to change my address. Thinking that a phone call might be quicker than setting up an account and entering the information online, I called Aetna Medicare's toll-free number. After punching in multiple numbers in the voice mail process, I got a recording that the office is closed today. It's Friday, May 1! Since when is May Day a business holiday in the US? So I tried going online, setting up the account, and clicking on "change address." I got a message, "Call the number on your card." So hoping the previous phone message might have just been an automatic kick-in when the lines are overloaded, I phoned again, and got the same recording. Then I tried going to the "Have you had an experience with Aetna?" customer review section, and got a "password failed" message every time I tried to log in with the correct ID and PW I had just set up and used to access the customer account site a few minutes previously.

I did not receive my bill in January 2015. Received a notice to pay the bill due date April 1, 2015. I pay my bills online, the payment got to your place April 2. And I receive the check back stating I have no insurance after never missing a payment all these years. I am 72 yrs old, I have no other insurance and I had to pay more money when I retired in order to keep the insurance I had. I feel I should be reinstated with my pay record and time vested with your company. I am very upset and need answers from your higher powers.

Went to medical facility for an MRI, Aetna said the services would be roughly $375 due to the type of plan we had. Received a bill for $314.00, paid it full immediately. Two months later, received another bill for the same service in the amount of $227.00. The medical facility stated it was Aetna - they had made a billing rate error. Called Aetna, they claimed the medical facility initiated the rate error inquiry. End result - I filed 2 appeals with Aetna asking them to own up their billing mistake and they refused. Aetna's CEO made over $30 million in 2013. Poor customer service if you ask me - all I asked is for them to own up to their own mistake and pay the $227.00 bill I received due to their billing error.

My two sons have asthma. They are prescribed "Advair Diskus" medication monthly to prevent the asthma attack, and Aetna does not cover it. The pharmacy benefit indicates that $10 for generic and $35 for brand. I was told that asthma medication is not covered. Therefore, I have to pay $100 for the prescribed medication instead of $35. I have had health insurance for more than 17 years, and I have never had this problem with other insurance. This is totally a rip off and deceptive insurance business. I have Aetna HMO, which I pay 202.51 and my employer pays 448.57 every two weeks, which mean the insurance cost almost $17,000 annually. I only use the insurance for my son's medication, and now Aetna does not covered.

Aetna makes health insurance so much harder than it has to be. The website is useless and unclear. Trying to find answers to simple questions such as how much Aetna covers of visit takes hours to answer and they seem to expect you to have time to sift through pages of fine print in order to track down answers. Contacting their customer service representatives through e-mail or on the phone is a horrible experience; they can never give you a simple answer and they make everything more difficult. The bills they send are so unclear and I still can't figure out if I owe physicians that I've seen money or if these claims are pending, or if Aetna will cover it.

I'm writing this on behalf of my mother who has Medicaid through Aetna Better Health. We've been on a mission trying to find a dentist who will see her. For the last 5 days, the left side of her face has been swollen due to a tooth infection. I went online and their website works whenever it wants. It's definitely not user friendly nor is it updated. After much trial and error, I was able to download a list of dentists from around the area that accepted her insurance. This is not an exaggeration, I literally called 17 dentist offices and NONE accepted that type of insurance, even though they were listed as a "provider" on their website. What I wound up doing was pulling a list from Google and going directly onto each website and checking out their insurance options.

I went for an annual physical with my new doctor. They ordered a basic blood panel to check cholesterol, blood sugar, etc. We went to LabCorp and had the tests done. Got my results, etc. I then receive email from AETNA that the blood work draw was not covered. Since when is basic blood panel NOT COVERED? One of the worst insurance carriers around, I would go back to Kaiser in a minute if it was an option!

Former insurance companies covered Androgel. Aetna insisted I get injections. That was fine, my doctor wrote a prescription but when I went to have it filled, it was not authorized. My doctor, my hometown pharmacy, myself and my wife have tried calling them on several occasions to no avail. Delay and make everyone jump through hoops until you give up seems to be the tactic. We have been given different stories and passed from person to person each time. From the middle of Feb. until today with no help from Aetna. Twice when I went in for other prescriptions I couldn't get them because the website that the pharmacy goes to for prescription authorization was down. It is my opinion the Aetna cares more about its bottom line than those it insures.

I paid my premium for December 2014. However Aetna applies the premium to November's bill that was already paid. Their records reflect that I did not pay December's bill and therefore all the bills for December are being declined by Aetna stating that I did not have coverage. I called Aetna and the worst Supervisor who refused to help. Each bill I had to write an appeal, some are being paid. However Appeals Unit is not correcting the effective date of coverage. I believe that there is corruption inside Aetna, and they are in serious need of an audit.

Aetna Health Insurance claimed to be secondary insurance for my wife's coverage for over a year straight, fighting it all the way when they were Primary the entire time. My wife had BCBS since she was a girl through her parents. Her parents are now retired and we added her 01/14/14 to my Aetna that I get through my work. We assumed that Aetna was primary since I was the husband and the other insurance was coming from her retired step-dad and was due to expire 3/19/15 when she turned 26. Aetna had no problem being Primary at first, but then in March we discovered my wife was pregnant and we had early complications and the bills started pouring in.

Ridiculous customer service especially for people who require life-saving medication. I am sitting on the phone right now, after waiting 45 minutes for someone to get me an answer and they still cannot get this approved. I ordered a refill of this product 3 weeks ago, and they never bothered to call and say it was on back order. Now what. I can't get an answer from them, and it seems they can't even figure out if the product is available. It is not on the blacklisted products list on the FDA.

I went for an annual doctor's appointment as I typically did. I was charged by my doctor $150. I called the medical group and was told, I had no coverage with that doctor - WHAT! She has been my doctor for the past 5 years! Apparently, with no notice to me or my employer who pays for the plan, Aetna changed my plan, of which my doctor was not a member.

I made a bad decision when selecting AETNA Student Health Insurance. If I were able to make this decision again I would not select this insurance agency. They simply do not cover anything. Due to specifics within my plan, AETNA did not cover anything (ANYTHING) for a $600 Ear Nose and Throat Doctor bill. When I called the agency they laughed at me for not having read the multiple pages of tiny print that specifies the actual worthlessness of my plan. To make matters worse I am unable to function in life without the use of hearing aids. AETNA does not cover anything in regards to this disability. If you have an option, I strongly suggest staying clear of AETNA.

I have degenerative disc disease and had lumbar fusion l3/l4 in 2013. L4/l5 disc was herniating so I had injections. It finally went to protrusion so held off on surgery. Felt terrible pain in my lower back that made me cry; it hurt so bad. Dr. wanted to do MRI. Aetna denied. I also have fibromyalgia and rheumatoid arthritis. My rheumatologist prescribed me **. Aetna denied me this medication. Aetna is the worse healthcare that you will ever pay out the nose for. A company that doesn't care about your well-being, they are just in it for greed.

Aetna is treating my going to see the Nurse at a CVS Minute Clinic as a visit to a medical specialist with the associated $40 co-pay. Actually even CVS did not know that their Nurses were Specialists, because they only charged me a $10 co-pay when I went in. Had they told me the co-pay was $40, I would have waited to see my family physician. Prior visits to CVS were treated as seeing a Nurse with a $10 co-pay, but now, beware of Nurse Specialists at CVS. Next year, Aetna will be out of my picture for good.

I am an aetna employee and have the aetna hsa as my insurance coverage, and put my own money in this account to pay for health care related expenses. We were told this included anything health care related including otc meds, but this was a lie. They just denied paying for indigestion meds and drops for dry eye. They also stopped paying for the asthma medication that keeps me alive. 1st thing tomorrow i will be filing an official grievance and next year will buy my insurance from a competitor of my own employer.

In Jan 15, I had went to my eye doctor for my routine checkup and had an optical field test ran so my doctor charged the 20 dollar copay because they didn't know if Aetna was going to cover the test or not. Next day, I was charged 72 dollars for the field test and I had paid it then in February, I had noticed that I was reimbursed for half of my payment and was told that Aetna was supposed to send me a check for the balance because they covered the amount of the test. I had called Member Services to tell them that I was told that I was supposed to receive a check for the balance of 28 dollars and three reps told me I was supposed to receive it in 7 business days, never showed up, had to waste my time going off on reps because they told that I wasn't supposed to receive a check at all because the test was covered.

Back in August of 2013 (when I didn't have Aetna), I was diagnosed with thyroid cancer. My thyroid has since been removed, but I have severe, recurrent hypothyroidism that requires I stay on a high dose of levothyroxine (Synthroid, for instance - it's what the thyroid makes to keep our bodies, brains, and hormones regulated and active. Without it, we feel fatigue, nausea, lose vision, etc). I cannot control my thyroid stimulating hormone (normal is .4-4, and mine is 200+ daily). The problem is that I don't absorb oral Synthroid like most people. I have Celiac disease and Crohn's, so I need an IV or IM (intramuscular) form of Synthroid. And since my TSH is so high, I'm too much of a surgical risk for a port or PICC (not that Aetna wants to approve one, anyhow).

Since 2011 I have been suffering from kidney stones. In 2014, I have three major surgeries due to the stones were stuck. Aetna was good taking care of these bills. Now in February of 2015, my calcium levels in my body were elevated. I was diagnosed with a tumor in my parathyroid gland, close to my voicebox. My endocrinologist recommended a surgeon in Florida who only specializes in parathyroid disease.

I'm writing on behalf of a handicapped brother who is very debilitated by several diseases, particularly diabetes. His Medicaid forced him to chose a provider. His Aetna rep referred him to a Dr. ** . When my brother got there he was told that doc hadn't been there for 7 years. In addition, no doc within 30 miles will accept Aetna patients.

I will be forced to withdraw from at least one serious drug because of the neglect I experienced with Aetna. I was terminated and I spent 7.5 hours on the phone and not one person I talked to could tell me why. So I have to re-enroll saving Aetna all that money and caused trauma to my heart, body and soul, and no apology even. All a big cover up for probably a simple mistake by a computer programer. If they make simple yet hurtful mistakes like that, think what could happen. They cover the wrong operation perhaps even causing the mistaken identity. What is a proofreader or copywriter Aetna?

This is the worst insurance I have ever had. I needed an mri for My shoulder and they denied me so here I am in pain, have to wait longer for another appointment for later. In the mean time I cannot pick up anything due to a doctor that has not seen me! The pain is terrible but they do not care about you only not having to pay. Heath care with this insurance is a joke and so is everyone there. Their customer service is the worst I have talked to. They will take your money but when you need something done they will not let you. I would shop for a different company.

I was insured with Aetna in 2014. I did not receive any information on renewing my coverage for 2015 during the well-publicized open enrollment period. I was already considering a move to a different insurer due to Aetna's horrible coverage. So I called in early Nov and said "I did not receive any renewal information. But am I correct in assuming my coverage expires 12/31/14?" They replied "Yes. Your coverage will expire. You would need to reapply online for 2015." At that point I decided to go with another insurer (Florida Blue).

Very high deductible is almost impossible to reach meaning we pay aetna almost $4000 a year for almost nothing. Any visit to the dr, whether routine or emergency, is completely uncovered by aetna. Also we were told no prescription would ever cost us more than $10 but have found that there are very often "exceptions" to this, esp. with expensive meds. It feels like our pockets are being picked and we have no choice, as this is the only plan provided by employer. This should not be called insurance and should not be legal.

In Texas, my district switched from Blue Cross Blue Shield to Aetna at the beginning of 2015. When getting my meds, different 'sections' gave me different information. After going back and forth for TWO WEEKS, having my doctors office fax over repeat 'physician authorizations' --- because apparently prescriptions are not good enough-- I was about to run out of my meds. One 'section' says I'm good to go and transferred me to the 'section' which is responsible for shipping. Yeah. I was NOT 'good to go'. Their explanation? The other 'section' did not have the right information. Eventually, I got that sorted out -- after my co-pay more than doubled.

I've had 2 back operations, in the last one on outpatient they discovered my back is cracked on both sides at bottom. 2 years later I finally decided the pain was too much. I keep falling, legs and feet aren't working. Went to a specialist, when he hit my knee, nothing. Wanted an MRI, they said no, must do therapy. I can't even exercise at home any more. If they hurt me, I'm getting a lawyer! Where's the government on these issues? Nowhere! They have good insurance!