AetnaReviews of aetna.com

Aetna Medicare PPO is not loyal and truthful to even the most loyal senior citizen. They just denied me and my wife $1000 reimbursement for fitness watch, which their own agent suggested us to buy. The agent said they would reimburse us instantly. Aetna denied the claim, stating that we submitted a wrong form. They never mentioned any special form before, nor they ever sent any forms. They are just liars, and that is not a first time they deny claims, or paying ridiculously low amount. I think an Attorney General needs to step in and other Government bodies as well! Let Public beware

I went to pick up a prescription today. I have filled this a couple times in the past so I knew it had a copay of $105. When I went to pick it up at CVS (owned by Aetna) it was $260! I called Aetna and got the runaround. No explanation as to why it more than doubled in cost. 💲 I will have to do without this medication.

Extra Benefits: Aetna Medicare Advantage draws in consumers by offering extra benefits beyond what regular Medicare offers. Vision, dental and hearing are the biggest with some plans offering generous benefits for dental, vision and hearing. The main catch is that you must use their “in-network, 3rd party providers” to access some of those benefits. Contracts between these 3rd party providers, such as Nations Hearing offer up to $4,000 for a pair of hearing aids, but no out of network choice for consumers and lucrative profits for selling low end products at a premium price. Recent reports show consumers not utilizing these extra benefits, but reasons for this are more about the convoluted process of access and the potential denial of reimbursement claims. Claims Processing: provider claims are processed quickly (within 30 day) but member reimbursement claims take up to 3 months to receive a check and often are arbitrarily denied, requiring appeals. Reasons for denial are poorly written and often in conflict with their own EOC. Many seniors who struggle with the insurance bureaucracy simply give up and eat the cost. Customer Service: CSR’s are poorly trained and have difficulty deciphering and interpreting the language in their EOC and policy directives. Working with them often requires escalating complaints to higher levels, which results in constant delays in service and payments. It often takes months for a complaint or appeal to get resolved. If you’re lucky enough to have a complaint resolved in your favor, you receive written documentation of the complaint and a resolution that barely resembles the original complaint, almost as though written by AI, though they insist that’s not the case. Rewards: Advertised rewards for basic health screenings is another draw to consumers. However, when it comes to redemption you are limited to 5 merchants (2 are fast food), 1 is CVS (owned by Aetna) and 2 others are retail home and home building supplies. Previously, Walmart and Albertsons were options that helped people stretch their food budget, but these have been removed. Unless you own your own home or need new clothing, then the options of unhealthy fast food are all that’s left. Website: Very general, basic information can be found at the website, which is frequently down or gets stuck processing requests. It doesn’t allow for submission of certain reimbursement requests and those that are allowed, don’t show submission confirmation or status updates. Other than the messaging section, all submissions fall into a black hole until you hear whether they’ve approved or denied your request. Communication: Aetna has an active marketing presence and frequently sends out notifications about products and services they want to sell or support. Contact them about how to access these things is always a challenge. As previously noted, CSR’s have difficulty communicating with consumers and don’t seem to have very basic knowledge of healthcare terminology or their own products and services. I don’t know who is in charge at this company or whether they have a board of directors that includes consumers. Companies that include a consumer or community-based consumer group on their boards often find their customers have higher satisfaction with their services. I don’t believe this company has the insight or motivation to improve their product and I’ve noted over the past 4 years of coverage with them, that their product has declined in value. Having said that, they are by no means the worst, but it’s a pretty low bar. Sadly, it doesn’t need to be that way; it just is, and in my view it’s because the customer is the lowest on their priority list. It begs the question, who is this company’s true customer? It’s clearly not the lonely consumer of their product, but the investors.

O agenție ridicolă prin stafful ei.punct

I have spinal stenosis and now starting to have trouble swallowing. My Dr needs an MRI due to my worsening symptoms and a few new symptoms including what's called Hoffman Reflex. But Aetna knows more than my Dr and decided it's not needed. I have increasing chances of experiencing paralysis from this condition, not to mention how often I choke and hurt. It feels like someone always has their hands around my throat. Thank goodness Aetna doesn't see that as a problem.

2026 update: The OTC benefit is reduced to $30/quarter. It is hard to complain about a 'free' benefit. But, Ugh. 2025: Bummer. 2 years ago, in 2024, we got $45 per quarter to spend on CVS. In 2024, we got $90 a quarter. I was able to get a blood pressure tester, a nice cane, and an extension grabber, along with OTC meds (some required by my doctor). In 2025, Aetna reduced the amount to $45. Now, my OTC meds eat up nearly all of it each quarter because ALL the catalog prices have greatly increased. Bummer.

Aetna refused to fill my prescriptions.

Was diagnosed with a torn knee meniscus. My doctor prescribed arthro surgery. After submitting an MRI the people at Aetna insisted that I complete 12 weeks of PT before they would approve the surgery. I completed this last week. My doctor re submitted everything and now Aetna will only approve a knee replacement as treatment because the MRI signs of arthritis. I almost have full range of motion with some at times moderate discomfort. Also I had arthro on my other knee last year. MRI showed signs of arthritis and the arthro was approved without a hitch. My doctor feels strongly that at this point a knee replacement is not good medicine and I agree. Friends of mine who had knee replacements had to go through a lot more than 12 weeks of PT to get their replacements approved. We were misled thinking that 12 weeks of PT would get arthro approved and now they want a replacement which will cost them more