AetnaReviews of aetna.com

They never have accurate information when u ask questions

Aetna is the worst insurance; they corrected a problem of over charging me for health coverage; Three months later they started doing it again; and had the nerve to send me a bill for July and Aug. Don't use Aetna Health coverage if you do not want to be over charged. I was on the phone with them for 45 minutes on hold; I finally got tired of it and hung up.

They are refusing to pay for basic, covered services because of an administrative error last year. I have explained the situation to several customer service agents, appealed the rejection (via snail mail, and separately for each claim), and have been rejected again. The rejection letter that they sent me made it abundantly clear that nobody even bothered to read my mailed appeal, which is infuriating because that was Aetna's preferred appeal process. I have switched to another insurance company and will do everything in my power to avoid having an Aetna policy for as long as I live.

My Agents name is Sophony Rodil. I'm sorry you all had a bad experience. This is a wonderful insurance and Sophony was the greatest, we took 2 hours and she got me the best deal of my life. She searched for the best possible plan for me... This woman will help you and you will be happy, call her you will see a real professional and you will change your mind about Aetna. She goes far beyond what she should. Please give Sophony a call you will not be sorry. She is calm, and a very sweet lady, she makes you feel important. Not like some that you get on the phone you can tell there in a bad mood. Not Sophony she makes you glad that you called. The member number 773 200 0003 8:00 - 4:30 Ask for Sophony Ridil you won't be sorry, don't let them put you with anyone else. You will love her !!

I just wanted to let people know our experience with Aetna. My 74 year old mother has been on Aetna “previously Silver Script”. I set her up for it over a year ago. She had automatic payments where she did not have to deal with any of it ,then they disenrolled her this month June 2025, she had to pay $200 for her prescriptions before we knew what was going on. I called to speak to an agent they said, She did not make her $14.70 payment May 2024.(we had no idea that she had to make this on her own, and it would not be automatically taken out as the rest of the payments were.)and now will not reenroll her even though we paid the $14.70 payment when we found out that was the problem. Yes, she probably received their letters, but never opened them because she was not expecting a bill. It was automatically taken out. I was on the phone for an hour and a half spoke to four agents. No one could help to get her enrolled or really cared if she was reenrolled or not. We will be finding a different insurance company. I highly recommend you do not go with Aetna! very bad customer service do not care about their elderly customers or trying to help them. This was a simple oversight of $14.70. That has now caused a huge problem!

If I could NEGATIVE stars I would!! I ABSOLUTELY HATE! This insurance!! If you do ANYTHING for your EMPLOYEES or for your Family DO NOT get this insurance!! It is hard to get approved for ANYTHING!! They are stingy, prefer their clients to suffer so they don’t have to pay an expense! They have NO business being a company that WORKS WITH PEOPLE WHO HAVE MEDICAL CONDITIONS!!

What went wrong this time? EVERYTHING! These idiots text me to call my "care team" (I have never met nor spoken to this class of employee and don't believe they exist) and when I do get past their phone computer we're-never-going-to-help-you BS I get huge runarounds. They literally won't do anything unless you get mad and scream at them, and then they are probably lying because they suddenly realize disabled people are very capable of recognizing when they are being discriminated against and if Aenta gets sued, they will lose their jobs... not that they are interested in actually DOING said job. They won't even list my PTSD, shattered vertebrae and TBIs from a 2023 assault! I am on the D-SNP program due to multiple disabilities, and Aetna had me fill out paperwork to get my Medicaid recertified by the state of Georgia, which "unfunded" Medicaid to fund a scam insurance program called GeorgiaAccess. That was 3 MONTHS ago! Aetna was supposed to help clients get past this blatant political greed and get their benefits, yet when I go that route AETNA wants my entire disability check via GeorgiaAccess and will not even speak about the D-SNP plan that it cut all services IN HALF after the year began! I found that out while discussing my dental care with my dentist, Aetna DID NOT NOTIFY ME that my insurance had been cut, nor why they did this. I consider this Theft by Deception. GeorgiaAccess did admit I AM eligible for Medicaid and should not have been removed, but Aetna refuses to acknowledge this and is quite insistent that I both do and don't have Medicaid, depending on what ignorant person answers the phone after the computer asks the same questions over and over and gets it wrong each time. I *thought* the text was to tell me where or not Aetna was successful in getting Georgia's gigantic steal-the-Medicaid-and-food-stamps scam fixed as promised on my behalf. I got a real person on the phone, gave her all my personal information, then was subjected to a torturous round of being babbled at by someone who was NOT on my care team, knew NOTHING about my case, advised me to disregard the text, then said Aetna had sent it after all. She read off the same few nonsense sentences over and over, then subjected me to some Orwellian doublespeak that led me to understand that Aetna does NOT have patient care teams, it's just a header on a piece of paper. After I got angry (Aetna LOVES to poke the bears!) she alleged that she sent an email on my behalf to that care team I have never talked to (I don't talk to imaginary people anyway, so that point is moot). I fully doubt that she did as she said. When I asked if I could correct some completely FALSE data on my "personalized care plan" (which I have never had input on, they have never asked me anything outside of that scam of a self-reporting survey they just scan badly and don't read because I don't really have a care team) an even bigger runaround began. I asked the "representative" what language I was speaking. She replied "English." I asked why my health care plan says I do not speak English and SHE DID NOT KNOW because "That's not my department." She could not explain anything but she did deny everything. Yes, I lost my temper. Yes, I told that girl she was an idiot - because she was poking a Mama Bear with the back of her brain sliding out of her skull. That HURTS. It is also fatal, and Aetna sure seems to be in a hurry to see me die because it does not have those injuries on my care plan at all and has NO intent to help me while I am still surviving. (I also both do and do not have diabetes, anyone want to explain that? No, they didn't want to. I am not diabetic, so is it getting more government money for lying about it?) She first did not know what personalized care plans are nor that I had a care team. Then she backtracked on both. Out of her own mouth, she first told me Aetna would contact me in the next 24 working hours. Then she said 30 days. She could not find any paperwork on my plan, tried to force me to do an online health assessment FOR THE THIRD TIME! I was supposed to get a $50 gift card for that, I have yet to see it and the scammer I talked suddenly forgot that data too - yet the "personalized care plan" I got in the mail did scatter some correct information from my FIRST online survey into all the careless errors and blatant negligence Aetna cheerfully provides people who are forced by the government to pay for health care that, in short, does not cover ANYTHING! If you are in any way disabled, DO NOT USE AETNA! And since most of the complaints - and I am reading 92% complaints here - are discussing those benefit cards: I was supposed to get $175 a month for OTC, gas and groceries. I get a card that routinely uses only $63.23 of the $65 it actually allotted me. Who here can feed themselves, much less buy OTC meds and gasoline to boot - on $63 a month?

If you had asked me last year, I would have said the AfSPA Aetna medical insurance was the best. But this year has taken a bad turn. Having a claim paid has been an exhausting experience, taken weeks. Portions of the claim were simply ignored, no explnti. Calling Aetna. Was at best a harrowing experience. German drs, by law, have to bill each part of an examination individually. Something I explained, though the reviewers in previous years were competent. I hope is a hiccup not the norm. Would I recommend them? Maybe, but it is a tough call. I hope the director takes a close look at the review process. The exchange rate being used, is the one for date of services, the published prime rate. I have to exchange my dollars to pay, at the consumer rate, around 3% less. On a large bill it can be quite expensive.