AetnaReviews of aetna.com

Have had several issues with high deductible HSA plan. 1. Last year paid $30 copay for primary Care. This year $208 because haven't met deductible. 2. Resolution of a bill received by hospital for 1/24/24 surgery that hospital resubitted 3 times, adjusting dollar amounts, under 2 claim it's. Ultimately bill 11 months after surgery with monthly calls to Aetna to resolve, although has stated we dont owe anymore, I was sent to collections. No one at Aetna owned the issue. Now have formal complaint entered. Told 7-10 days for callback, when called on day 11 told 30 calendar day to respond. 3. Denial RX twice. First was due to not having info that is never been asked before for this medication. Horrible customer service, Horrible management when people have issues, no call backs, no owning an issue. I'm pretty low key and understand a lot but not this. Coming closer to retirement and I know one company that won't be considered for supplemental insurer.

I had to switch my insurance from Priority Health (who I give a 4.5 star review) to Aetna at my company. I had been on some prescriptions for more than two years and Aetna employed the deny, delay and defend tactic to avoid having to pay. My doctor filed for a continuation of care authorization with documentation showing I met all their specified criteria. They denied it. I called and spoke to their international call center (horrible communication) and they couldn't tell me the specific reason for the denial. They suggested we appeal with more documentation. My doctor submitted more documentation as part of the appeal. The appeal was denied, but only provisionally (to prevent being able to go to an external review). I called and talked to the international call center for over an hour to try to get a clear answer of what they required. I then submitted every possible health record supporting my claim - note that I am very clearly within their criteria for the medication. They continued to deny but without giving me a final disposition. If you have a choice at all, DO NOT go with Aetna. They are among the worst at communication and will avoid allowing your claim until your either give up or die.

Do you like surprise bills? Love being told your insurance has some BS called "alternative benefits" that reduce the amount for things being covered? Well, do I have the "insurance" provider for you! All insurance companies are scams and should cease to exist. Blood sucking leaches

Aetna's customer service is PATHETIC. I have been trying to get my prescription refills for 3 weeks now and they keep saying that I have another insurance coverage that is primary. I went through the same issue back in December 2025 and thought they had gotten it fixed then. BOY was I wrong, same issue when it came time to refill again. Since I am required to go on Medicare, and bought a supplemental from Aetna, why would I buy more coverage? IF I ever am able to get them refilled, it will make 8 trips to pick up my meds which I still don't have. They keep telling me the issue has been fixed, which at this point it still hasn't been. There is no follow up on Aetna's part to verify that things have been fixed. Find a different company.

A the bank they use for there credit card for otc my credit for 75 $ they a took it for them self or they give it to someone else be aware of this pass it to who ever is on the otc program when you pay for gas at the pump the 75 $ they put on hold this happened to me i was told the hold they fell off with in 3 to 7 days but i did not get this money back now i'm being told they have to do there research which i was first told 30 days then they told me it can take 72 days this dose not effect them it effect us and Aetna dose not care all they do is play games big time that is all they do to me from feb 1 the grievance department is totally useless there mail in order for your medications is totally useless on less you pay i'm not i'm using my local pharmacy i'm not paying 25$ or 35$ they can not make up there mine on what it is pass this to any one that is on the otc program this is for next day mail fee so far is only one gas station in my city thank god it's only one that is pulling hold the 75 $

Zero stars if anything. They keep billing me regardless that I've paid off the 111.03 for my Levothyroxine capsules, and I have. So now another bill for March, 2026 (I'm no longer a member). Their Advantage Plan is no longer in existence. I figured out a few months ago, they will keep billing me regardless of whether I'm paid up or not. I have copies of my credit card statements and the cashed checks from my bank that proves that I've paid this bill and will need to contact my credit card company and NYS Financial Affairs division... they just transferred me again, they're screwing around with me all over again...I've spent another 2 hours with them on the phone this evening... honestly, they don't care whether this is resolved, period. So, now after another 2 hours on the phone on hold with crazy music in the background, I'm on hold again. It's not like Aetna Exec's don't know these people they pay nothing to aren't worthless, they know that, that's how they keep cashing in. I called another number. The woman acknowledges that I'm pay in full that I will be receiving another bill in April, that will hopefully show a zero balance... I told her to please review all the calls I've made in regard to all of this, because the first woman I spoke to this evening was telling me that I hadn't paid my June or some other last year's month's bill when it really has been paid off. Ok, summary: I thought I had paid the bill in full last year with a check that was cashed for 77.73. I'm fairly certain I received an invoice with a zero balance thereafter. Done. Well in Nov or Dec of last year I get another bill for 11.10, I'm pretty upset. I had thrown out the last invoice, and I'm calling them over and over again getting nowhere for a few months, then call my credit card company and get a copy of the cashed check from my bank. I can only find 2 c. card payments, so maybe they made a mistake last year and I owed more than 77.73. I sent them another check for 11.10. That was cashed, now proof the entire bill is paid. But the bill today for another 11.10 for March this year, that really set me off. At least 2 hours on the phone, and finally someone verifying my bill is paid in full. The point is that they messed up last year at least, and their c.s. people don't care if they pass you around all day and night, I had to call another number to get this resolved, but yet, it may not be as I thought it was last year with a zero balance invoice... no matter what you say or do, the mentality of whom you're dealing with doesn't change, and again, those at the top profit off the time their lowly customers try to resolve issues they don't spend any time on at all, they're focused on ripping off the greatest amount of people for the biggest share of profits.

Licensed agent here.. Aetna don’t hire agents like me who have misdemeanor criminal history from10 years back and I’m not even a felon😹. If they cannot create opportunities for agents, they’re definitely not interested in covering their clients who have criminal history.. yall DOOMED if you have Aetna insurance😹

Terrible company . They put me on Wegovy with my previous doctor. I have since moved and have a new doctor and they denied the doctors claim because they say I have not made progress and do not have a good outcome with the drug. This is simply a lie it does not account for the fact is most weight loss was under my last doctor. My weight is now rising again but they will not listen. They offer no alternative or help.I'm only still with them as my employer has no other option.