AetnaReviews of aetna.com

Both the wife and Ihave a dual covererage policy with aetna. We have had this coverage for the third year all due to the lies we were told by aetna CSR's during open enrollment for the 2026 year. We wete assured that we would have no co-pays to see specialist, no co-pays on prescription meds we have to have. Also there would be no out of pocket for hospitalizations or emergency room visits. Along with NO co-pays for having to be teansported via either private ambulance or fire rescue. Then come 01 Janyary 2026, we have co-pays to see specialist, co-pays on medications, deductibles for hospital stays, co-pays for each individual lab test, along with an annual out of pocket expense on top of the co-pays we have to pay. Along with huge deductibles for any type of surgery, or any other type of tests and procedures or dirable medical equipment and supplies. They are also trying to tell us that we can change our coverage plan during a 90 day grace period. I checked with the Medicare dept at Social Security. If either of us changes our plan before this year's open enrollment starts, we will be fined $150.00 per month for late enrollment thru the end of 2026. One CSR will tell you one thing, another will tell you something else, and a third one will tell you something completely different. All they do is tell you what you want to hear. Aetna refuses to answer complaints filed with our State Insurance Commissioner, the three complaints that have been filed with the BBB, saying they cannot respond due to HIPPA regulations. Which is crap, as I used to work in the medical field and know about HIPPA regulations. They used the same excuse with the grievance filed with the Federal Trade Commission. They are also getting where if you receive the Extra Help Benefit card, what it can be used to buy in the way of food, bills that it can be used for. Along with only certain otc meds and supplements.

Ridiculous, every year gets worse. Next year I’m changing. So disappointed.

Dental Policy: It's a waste of money. They wont pay. I've had periodontal maintenance, surgeries, and procedures for over 15 years. Bought their dental policy last year but they refused to pay claims based on one meaningless reason: I can't prove I had root planing done. I had root planing done a couple times more than 17 years ago. That periodontist is long out of business. Not only that, but getting SRP done is completely unrelated to whether a person needs periodontal work. It's a specious reason, and this is what's going on these days in the insurance business. Read the reviews carefully for any policy you buy. I have had very good experiences with Wellabe/Medico in the past. They don't have "gotcha" reasons for denying claims, and if they do deny a claim it is usually reasonable. Seriously, look into it.

Allowed Aetna to take my payment out of my social security check 3 yrs ago have been fighting ever since to get it stopped even though they don't insure me anymore and haven't in 2 years they continue taking money out of my check. total fraud and can not do nothing other than post a review and hope it helps someone else.

Billed me my full deductible twice back-to-back and wouldn't correct it, so an extra $600 that should have been covered. Then proceded to charge me more than my out-of-pocket maximum for the year. Their website registered that I hit it exactly, but when I downloaded the claim summary for the date range of the year, they had continued to charge me beyond my maximum in-network limit.

I paid into Medicare Advantage Plus via Aetna every month and here I am not in July of 2025 but now January 2026 and still fighting to get my medical bills paid. Just today alone I was on the phone for just under and hour. I have made calls starting back in July 2025, error seen would be corrected and near 8 months later, still waiting. I even had to prove I had no other health Ins even though Medicare itself showed I ONLY had Aetna. Reps have asked me questions that frankly are none of their business like where did I last work near 2 decades ago, when was my last date of employment, heck, was near 2 decades ago I dont remember, who was my last health Ins company, told them, who before that, I told them I have been covered under my husband for over 4 decades. I am so weary of hearing 30 to 45 days, COB dept supposed to call me NOT a word. I will never recommend Aetna to anyone, their customer service is a FAILURE.

I was ok with Aetna until their rates more than doubled in 2026. I only take one drug that without a drug plan would cost me about $250/yr. I know it is my fault for not looking at any increases during the enrollment period. I'm just so naive about things like this. I was unable to get out of the plan without the possibility of hurting my credit. Yes, the customer service is terrible. (It will drive you up a wall.) In disgust, I paid the total amount yesterday (over $1000) and wrote them off as a bad company to do business with. P.S. If you ask Google about any complaints about rates going up, they specifically mention about Aetna doing just that and how many people have complained. No specific major drug insurance plans universally doubled their prices in 2026, but some Medicare Part D plans saw significant premium hikes, with individual plans like SilverScript Choice experiencing up to a $50 (or more) increase in some states Varying Part D Premiums: While overall standalone Part D premiums averaged a slight decrease nationally, actual costs varied wildly by state and plan, with some enrollees seeing large increases

Rarely do reps resolve issues or answer questions. When they do provide answers, they are different for the same question each time one calls. Yesterday our firm's concierge service called Aetna to clarify specific pharmacy coverage. Not only did the rep at Aetna not know, but when she got someone more knowledgeable, this "expert" did not even want to take the call because that rep ALSO did not know. This topic was tied to a vague letter from Aetna trying to explain new Rx benefits. Further, their tele. connection to the offshore team is sketchy. Plus, the reps from the offshore team are sometimes hard to understand. Comparing the money Aetna makes, the quality of service they provide is abysmal. They also take FOREVER to clear health provider charges. We've had to call MANY times to prompt them and get bills reviewed and processed MONTHS after services were rendered!! A lawyer friend involved in CVS's acquisition of Aetna explained some years ago that the culture at CVS focused on cost containment and administrative efficiencies. Aetna, on the other hand, seemed to be all about party, party party....in short, very wasteful, and the insured members are flipping the bill. We need more regulation because there does not seem to be enough incentive for improvement.