Aetna Health Insurance Reviews

I have been taking this medication for over a year with the same insurance company Aetna. Now they say I can't be on it. Pick another drug similar to it. Really? It took a while for me to find a drug that works and now they won't cover it and think they know more than my doctor. My doctors send in a form for authorization and they refuse to let me take it. I must find a generic that is comparable. So let's play Russian Roulette with my life. Try different drugs that could cause me to have a terrible reaction or die. I am going to start a support group and contact all my congressmen to make them aware. Starting next month Aetna will be Caremark which is CVS Pharmacy. It will be worse. Terrible how Aetna can immediately stop depression medication. Shame on this company. I would give a zero if it was an option.

They continually give me nightmares about my prescription. I have had jock itch since March 12, 2019. I called my doctor on the 13th and his nurse put a request in for me with Aetna pharmacy. It was not until March 18th that they acknowledged the prescription and an email that my order will be ready in 2 to 3 days. Then, 5 days later, I get a letter from Aetna that my prescription is on hold. I check their website, and it only says on hold.

My husband was in a nursing home and Aetna denied him coverage. After 2 weeks I appealed and the appeal process was awful with the nursing home playing on both sides of my issues mine and the insurance company. My choices were limited to an expensive 24 hour home health care aide or assisted living. I was also informed that if I tried to take him out I was going to be reported to adult protective services. Anyway, he went into assisted living for a month and then they said he did not need their services. I was right. The nursing home was wrong.

This company is the absolute worst. Tried to get a medication authorized, after 5 days come to find out after stating they received all the information, they had not. So now I have to wait another seven day turnaround time. In all my years I have never had an issue filling a medication. When it comes time to renew my insurance, Aetna Innovation will not be it!

I use GEHA insurance, which contracts with AETNA as the insurance provider. My wife just had surgery to have her tumor removed, and AETNA has rejected a total of $20,000 worth of medical costs associated with this procedure. They did it in such a way that GEHA has received no records of this rejection. The medical bills end up going directly to me. This despite the service providers being in-network. I will press charges against AETNA and report this scam to the department of justice for prosecution.

I am on the Johnson and Johnson Aetna health plan and Aetna keeps on denying claims tests for amounts less than $10 or other low amount like a doctor’s visit, and I have to go through the 3 internal processes and the external process for each claim. All lab tests and doctor’s appointment are in network. I wish my employer would choose another health provider. Aetna is a waste of money. I don't recommend Aetna to any employers for their employees.

AETNA is awful. I called for refills the other day and I was on the phone for 1 hour and 10 minutes. My previous insurance company was much better than AETNA. You might talk to three different representatives before getting someone that can help you. I wish I could get rid of AETNA!

Just switch to Aetna advantage Care for my Medicare supplement Plan. Had medication that was a generic drug. Was paying over the counter $20 per month. Aetna classified it is a tier 3 drug and was charging me over $50 which went towards my deductible of $350. Once that was met I was still going to have to pay of substantial amount more than what the walk-in price was. I went on to GoodRx and found several pharmacies selling the same drug for between $20 for 30 pills to $24 for 30 pills which was the high. I called customer service and explain this to them. They really didn't care. It's a scam, smoke and mirrors, Bernie Madoff only Insurance style. They're taking advantage of the elderly in the State of Florida to serious crime. It's all about the Benjamins. Stay away. God forbid you may need a serious drug someday.

Aetna is adequate for Medicare coverage. However, they have limited coverage for areas outside of large cities. I have had to go to a larger city as many providers including diagnostics are not covered. This costs me time and money.

Simply the worst. The epitome of American healthcare - zero accountability. Even if I were a millionaire and had this company for insurance I'd be broke after a couple of blood tests. Don't like the bill? Tough - there is nobody to help. Aetna doesn't care. Doctor doesn't care (they just submit paperwork). Would anyone go to doctor if they got to see the bill first?

I’m lucky to be healthy; however the program covers doctor visits, lab expenses and extras like Silver Sneakers. My doctors seem to prefer Aetna simply because the company must be simple to work with. When I’ve had questions about coverage, I found the rep to be courteous and friendly but also knowledgeable and efficient.

As a retired education employee, I am paying too much out of pocket for office visits and medicines every month. I also pay $200 monthly premiums. Cost of living is going up while our medicines go up and our pensions stay low. How are we to keep up.

Lists preferred providers as out of network, therefore I can’t even guesstimate how much I will owe. They have been contacted by me and my providers and still have not corrected the issue. Had BCBS and will return to them when open enrollment comes around.

Aetna refused to cover a generic drug which my previous insurers covered for decades. Aetna covered less than $1.00 for my 4175.00 shingles vaccine. I am living for October 15TH so I can dump Aetna and sign on to a different plan. DO NOT GET Aetna INSURANCE, YOU WILL REGRET IT!

I am 24 yo dealing with insomnia for almost 10 years. I finally decided to go through with getting a sleep study. Saw a specialist and he confirmed I did indeed need a sleep study. So we made the appointment but roughly 3 weeks before the study, I called Aetna to make sure the study would be covered, or if it wasn’t how much I could expect to pay. The woman asked to put me on hold while she gathered the information. She came back and told me that 100% of the costs would be covered, and that at the most I would have to pay a $200 deductible, but probably not even that as my study wasn’t an emergency. She even sent me an email detailing their policies on sleep studies and my conditions were listed in those policies.

I have been receiving ** infusions for 16 years. Been w/ Aetna since 2012. $35 copay all along. Plan/Dr/office/billing/Rx has not changed - $35 copay all along. Last year, Aetna decided to start billing me coinsurance of $3500. Said they made a mistake all those years only charging me $35. Threatened to go back and adjust all the prior years to charge me coinsurance if I didn't agree to pay from now on. I can't afford to pay, it's thousands of dollars, so I don't know what else I can do except pay now, but my plan doesn't require it.

My company switched us from Blue Cross/Blue Shield to Aetna January 1, 2019. It has been hours and hours and hours of frustration. Every time I need to call them I have to screw up the courage to go into battle yet again. I won't go into details - no one needs to hear me whine - but I really and truly wonder how good people work here. I say good people because most of the operators I work with at Aetna are nice and professional, they just can't help me because their superiors tell them, "Don't pay claims," and my company is cheap for using them.

I work in billing in a physician's office and I'm writing of the horrible frustrations we have had with Aetna Medicare Advantage Plans. They tell seniors lies upon lies, that they can go to any doctor that takes Medicare and voila, all is smooth. I'm here to tell you THEY LIE. One example -- Aetna literally sent claim payments to a patients' home address in NJ, and we are in a different state. Those payments were supposed to have been sent to our office, and they sent them to the patient (age 83 and confused on a good day) for unknown reasons. They have the practice, physicians’ address and license numbers correctly, as well as the electronic claims, and it is unclear why they did this. They couldn’t offer an explanation either.

I tried to call Aetna to discuss an issue with my HSA. When I enrolled I was asked to provide a link to my bank account. I did that and now Aetna deducts taxed money for my HSA (in addition to using pre-tax money as they are supposed to). I wanted to call to rectify the issue but when you call their 1866 number all the robot tells you is advertisements for crap you really don't need. I tried for 5 minutes but after hearing about roadside assistance, cell phone offers and other junk I gave up. Now I will work with my bank to block Aetna from accessing my account.

Aetna did not process a claim correctly. I tried for 8 months to get them to correct/adjust the amount paid towards the claim. Finally after 8 months and hours upon hours on the phone the claim was adjusted. I went from owing $5,277 to owing nothing. Horrible experience!

In many cases, it is impossible to know what is covered: The customer service often contradict itself and anyway whatever they say isn't legally binding. And the 2 provided documents "benefit plan" and "schedule a benefit" are missing a lot of information. For example, I have exchange went over 10 messages/emails/chats with the customer service and I still cannot have a clear answer regarding a question as simple as whether going to a physiotherapist without a prescription is covered.

My employer switched from Horizon Blue Cross/Blue Shield which was excellent and changed to Aetna! Absolutely the WORST EVER! Everyone should write their corrupt congressman for help! Probably won’t get much either as I didn’t from my rep. I gave other insurance and will cut Aetna and get my money back! Medications I got for years they have denied!! When you get sick AETNA will not be there!! Stop paying them!!!

I have had occasion to call Aetna customer service, 8 times today. 3 calls never got to a person, they sent me to a survey as if the call just ended. 2 people I had to hang up on due to a genuinely offensive attitude/voice. The others had NO CLUE what I needed. I asked about the vision coverage, and was told "I don't know" more than any actual concrete answer. One woman claimed her name was "Q" and then proceeded to talk to her coworker about their weekend. The website is extremely slow. It will kick you offline if you are inactive for more than 15 minutes. Problem is, it does this within 10 seconds of logging in.

About 2 years ago, Aetna switched its customer service to the Philippines (obviously to save $$$). Since then, it has been a nightmare interacting with them, when you need information. The reps don't know hardly anything, are just reading/quoting paragraphs in front of them, without any real knowledge of what they are talking about. They don't understand American health insurance or medical conditions (which are complex). They constantly put you on hold when you ask a question, while they search the answer; if you call multiple times about the same thing, they give you conflicting information, they can't pronounce half the medical terms... It's irritating and tiring. For goodness sake, Aetna - move your customer service back to the States! I will be switching plans as I can't take it anymore...

My ophthalmology surgeon was not in Aetna's plan (BFMG) so I opted to change insurers this year. I was appalled to learn that Aetna refuses to transfer my medications to the new provider. Any insurer changes in the past have always cooperated by transferring my medications to the new insurer. It appears Aetna punishes those who choose to leave their plan. Very petty on their part.

Even if you have "great" coverage through Aetna they will find a way to skirt it. My wife went to an eye doctor with a clot in one of her eyes and the doctor ran a set of labs. Aetna arbitrarily decided one of the labs was "experimental" in nature despite a doctor's note explaining exactly why the lab was medically necessary. Aetna used one of their morally bankrupt, corrupt attack dog MD's to write a false justification for their decision (my wife herself is an MD, and knows the lab that was run on her is very standard in the field). We are now out $700 for a single lab. Buyer beware: the coverage they claim they are offering is a lie.

Tried to have a script mail ordered to me. After 2 months calling I still do not have my script! They never got it right... not even the correct dosage!!! I have used mail order for a number of years, with no problems. Aetna is another story. They are completely incompetent. I will never sign up with them again.

I have been putting off decompression surgery to my c-spine for 26 years. 8 years ago I chose to have my lower spine fused and found "the most compassionate skilled surgeon" and proceeded. We decided that the back took priority because of the pain. Jump ahead to now. When getting approved, the insurance decided a particular device wasn't need "medically" anymore. REALLY someone at a very low rated insurance company was telling MY skilled surgeon to not do his job. After a peer to peer that changed their mind... I am recovering but now I can't get some medicine from my primary because of...you need to make an appointment. Even though you can't drive right now.

Updated on 02/15/2019: I unfortunately changed my Plan D insurance company for 2019 to Aetna. Starting in December 2018, mail and phone communications caused confusion. I now believe that was intentional. I first paid the premium for the entire year via credit card. They claim that the transaction did not go through, so I mailed them a check. But the initial credit card transaction did go through. My card issuer said there had been no declines for that transaction. It appears that I was lied to by Aetna. I wasn't aware of that until after the check had also cleared. Since it appeared that I had been scammed, I closed that credit card account.

I pay nearly 1,400 dollars per MONTH 16,800 per year for my family coverage. SO I can count 18,800 a year with the 2,000 dollar deductible before they pay anything. Not to mention the huge co pays. I had to switch from Coventry because the plan was going away. I never had a problem with paying the high rate there because the plan paid out.

I ** hate you with a seething passion, Aetna. First, I go through 30 minutes of transfers and being put on hold try to get info on my company's infertility policy through Aetna, all to be told that my wife, who also works full time, must be on the line at the same time as me in order to verbally agree or some BS. Well, we've both taken time out of our day to call, and have been on hold for 20 minutes now! We have stuff to do! We have jobs and can't afford to be on the line for 20 ** MINUTES just to get a verbal confirmation to be in this program. This is insane. All we want to do is have access to the infertility coverage through my company. It shouldn't take a literal HOUR just to get "enrolled." This whole company is an absolute racket.

Aetna RX Mail Delivery - I mailed my...sigh, perfectly monthly prescription because of non filling at any Pharmacy. (I’m too old to “drug store shop”) All I have to say is they lost my prescription upon receiving (and signing for $$$) for 6 days causing me to go without any opioid medication. They found it and I told them to mail it back (that will teach them). Now I must “drug store shop” again...

Made the mistake of trying Aetna just to save a buck. The old saying you get what you paid for is true! One of the Parkinson's meds I take was 40.00 at Kaiser. Almost 400.00 with Aetna! Have a major medical condition that requires me to go to a specialty clinic. Rep I spoke to with customer service offered Spokane - a 8 hour drive! Parkinson's makes it difficult to drive more than a hour. Worst decision I ever made switching. Hopefully I survive financially.

I had to get a prior authorization for a drug. My doctor sent them a prior authorization form twice. They responded to him saying I was approved for the drug. Then when I call them they have no record of it whatsoever and they tell me he never sent anything. Terrible communication at this company, quite disappointed with their service.

I am very disappointed with the way my appeal was handled twice! I called Aetna twice prior to having this procedure done and was advised it will be covered under medical. My dentist advised that they do not bill Aetna and I will have to submit the bill directly to Aetna to be reimbursed. I did everything I was supposed to do, with the paperwork, receipts and the doctor signing off on the bill. Aetna staff totally disregarded the fact that their staff gave me incorrect information, and I was misled and was denied the reimbursement without acknowledging or apologizing on their incompetent, unskilled staff doing this. In situations like this, for this amount, and not being thousands, one would think Aetna would do the right thing ethically and with integrity but they did not and continued to deny the appeal... Organizations like this should not be in the healthcare business because they are doing more harm than good to people...

My wife and I have spent about $3000.00 getting ready for bariatric surgery. When we were forced to renew our coverage in January all of the plans excluded bariatric benefits. Aetna has been completely inflexible and callous through the whole ordeal. I have paid thousands of dollars to them over the years and have rarely had to use them for anything other than prescriptions. They have become very wealthy from people like myself paying them and them not doing what they exist to do which is to assist with medical needs. Aetna is owned by CVS and CVS will never get any of my business from now on.

Was put on Aetna Medicare by the employer I retired from. Previously had Blue Cross which was great. Since being switched to Aetna I have been denied coverage for 3 prescription drugs I have been taking for years. I assume since they own CVS doing this saved them money, with no concern for my health. BC/BS covered all of them. AETNA denied a CT scan because their doctor didn't approve. If you call them have a translator on the phone as you won't understand anything their outsourced employee says. Hate this company and insurance. Look elsewhere for coverage.

My name is Robin, I am 52 yrs old. I am currently suffering from a major depression disorder. Let me tell you I would not wish this on anyone. I was hospitalized inpatient for 7 days at Lindner Center of Hope in Cincinnati. I found myself "lost" when I came home. They did not have a magic pill or potion to make this depression, stress, loneliness, anxiety, darkness and gloom disappear (of course).

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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