Aetna Health Insurance Reviews

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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.