AetnaReviews of aetna.com

For those of you who also use Aetna or may plan to. I wanted to share a story regarding my horroble experience. I emailed my claim forms Friday Nov 7th for reimbursement, nothing major just $350 for a fixed benefit plan. How it's advertised is if I see a doctor throughout the year they pay $50 for a visit for copays. Since I had already paid my copays that is supposed to be paid to me. I called on the following Monday or Tuesfay just to confirm my emails had been receieved. I was told 10 business days to have an answer. I waited. The Tuesday before Thanksgiving, I call again. It has now been 10 business days. My emails were not turned into claims. I was assured that all of them had been received and someone would assign claim numbers to have them reviewed ASAP. I wait. I call the following Monday Dec 1st. I have a two claims created and one is a claim for a date I didnt even submit. My other claims are lost apparently. An escalation specialist found my emails. Assured me they would get claim #s assigned and have the review expedited. I was told I needed itemized bills not medical records, but someone would call my doctors cuz you have a waiver as part of my claims form package to get what they needed. I didnt believe that for one second, so I called every one of my doctors and asked them to re-run my paid invoices with this secondary insurance. I wait. It is now Dec 16th. One of my claims has been approved. 6 have not been paid. And of those 6, 4 of the emails I sent have still not had a claim generated. I was assured again someone would get it resolved. It is now closer to 2 months than 10 business days and my emails are still "lost". No claim numbers. No examiner. No outreach to my doctors. No benefits paid. They still owe me $300. This timeframe is unacceptable and shows signs of incompetence of fraud. I have lodged formal complaints with the BBB and the department of insurance. I wil be contacring my HR team tomorrow. Be warned.

Atena no longer wants Medicare clients. I have never been happywith their customer service people who are annoying. There were you down and you can't understand them. They are always apologizing instead of getting to the point when you ask a direct question.Trying to fight a claim for a lousy $64 is not worth my time. Filling an appeal is useless because they tell yo a claim was never filed. yes it was I spent an hour and fifteen minute doing it.

Aetna insurance company required preventive care visit to avoid surcharge.after I did preventive care visit im receiving eob for laboratory and reading of laboratory.aetna set a trap so youll have unnecessary bills, when i send appeal looks like they respond with automated letter we stand by our decision.aetna is not reasonable, stay away from aetna. Not recommended.

Avoid Aetna/CVS Health. They completely failed my family during an emergency. My son needed ambulance transport after breaking his arm at school, and for nine months Aetna has refused to properly handle their part of the bill — only $340.88. They gave me false information, claimed they were contracted when they weren’t, lost my appeal, made me do two conference calls, blamed the fire rescue for paperwork issues, and kept pushing me into new appeals even after acknowledging they owe the $340.88. I’ve made at least six phone calls, two conference calls, two appeals, and months of follow-ups, and Aetna still hasn’t paid. I pay more than $1,200 a month for this insurance, and they can’t even handle a basic emergency claim. Completely unprofessional and unreliable. I strongly recommend choosing any other insurer.

My employer switched to Aetna. After 23 years of going to the same hospital systems /doctors, the largest/best in my metro area, Aetna has now dropped them from their network. In looking at the other choices Aetna offers - unless I'm willing to travel hours - I will have to go to substandard hospitals and use their doctors who get 1/2 stars out of five. Reading their reviews is horrifying. I'm considering leaving my employer for an employer with a better insurance company.

Atena pharmacy plan is a huge ripoff, last year I had them for my part D and tried to cancel because of the monthly cost 60.00 x 12 $720.00. My meds cost $286.00 for Tier 1 meds in 2025. The cost for 2026 is 96.00 monthly which is 1,428.00 for my Tier 1 drugs. They are horibble. Please search for better coverage elsewhere.

It's November and we have just now met our high deductible for the year. Now Aetna is revising claims that have already been paid by us and is saying we owe more on them. You can't call them, but I chatted with them online to get to the bottom of it. No explanation - just that it is correct and we owe more. 10 months later !

I have never been more frustrated or frightened by an insurance company in my life. I am a Type 1 diabetic whose survival depends on timely access to insulin and related medical supplies. My request to get these medically-necessary supplies covered began on July 28th, and as of today it is still unresolved. During this time, Aetna has: Sent me in circles between multiple departments, none of which take ownership Provided incorrect DME supplier lists Sent documents that are irrelevant, instead of the authorization needed for coverage Told me to pass meaningless forms to my doctor, instead of handling the process internally Failed to give a clear answer on whether my supplies are covered or how to obtain them I am now dangerously close to running out of insulin supplies. If this continues, I will be hospitalized within the next two weeks, and it will not be from negligence on my part — it will be because Aetna has made it almost impossible to obtain life-saving medication that I am fully entitled to under my plan. Even if I can finally get the supplies covered, the costs are still outrageous. I am staring down hundreds of dollars out-of-pocket due to the deductible plus an 80% co-payment, on medication that is not optional for me — it is required to stay alive. I have spent hours on the phone, been transferred repeatedly, and have received no real answers or solutions. At this point it feels less like disorganization and more like barriers designed to delay or prevent coverage. This is not a minor inconvenience. It is a risk to my life. Aetna needs to fix: Their approval and DME referral system Their internal communication — stop passing members around Their complete lack of urgency when life-saving prescriptions are involved Their unacceptable cost-sharing structure that makes insulin financially devastating I am terrified and exhausted. No one who relies on insulin should ever be put in this situation.