AetnaReviews of aetna.com

I made the mistake of switching to an Aetna PPO plan from BCBS through my employer. The plan went into effect on 1/1/24. I've been having back issues for the past year and have been treating throughout that time. On 1/10/24, I underwent a cervical nerve block and on 1/11/24, a letter was generated from Aetna denying the procedure because they didn't receive notes saying I didn't have at least 3 months pf severe neck or back pain.... Clearly I'm a new member as they have no other narratives for my condition which should lead them to look further into the matter however, they didn't. They denied without doing or researching anything. You'd think these people would have some type of medical knowledge or common sense. Now I have to spend hours on the phone and help these halfwits do their job as they clearly aren't capable of doing it. I actually work as an insurance fraud investigator having access to several agencies which I'll be reporting Aetna to for obvious stupidity and incompetence.

They get no stars they lie, change your doctors. All they are about is taking money they don’t earn. Aetna sucks

This is the most apathetic and least professional company I have ever worked with. They claim to be the “best international insurance provider”, yet they have no idea how the health care system operates in the country I’m currently living in. I needed a knee surgery after realizing I had a broken piece of bone in my joint. I had to go back and forth with Aetna for MONTHS and they continued to tell me that they will not provide a GOP in order for me to have an absolutely necessary surgery. It was only after my employer’s HR department reached out to Aetna that Aetna allowed me to have the MRI and surgery. They finally submitted a GOP (guarantee of payment) to the hospital where my surgery was performed (delayed months because of Aetna’s lack of compassion and urgency). I thought that the nightmare of working with them was over, until I realized that they never paid the hospital for my GOP. They were going to allow me to be taken to court for not paying in a timely manner. When I first received the bill, Aetna told me that I do not need to pay it, and that they would do so per their GOP. To my dismay, they never did. The hospital sent me two letters that I needed to pay. I called Aetna at least 8 different times to get them to pay for the surgery. Each time, I was assured that they would pay and nothing was needed on my end. After two months of Aetna neglecting to pay, I ended up asking Aetna if I can just pay for the surgery and have them reimburse me (they guarantee a 100% reimbursement). They said yes so I paid and submitted a claim. They claimed that my bill was not itemized, which the hospital had said they cannot do. Now they are trying to avoid paying for a surgery that they guaranteed the hospital payment for. If only I wasn’t a US citizen and could elect my own health insurance….

Tried to apply with these guys during the open enrollment this past year to save some money with their advantage plan. They denied my application because of the lack of permanent address! I got ONE letter and called to input the address, nice lady, maybe a 10 minute call. Next mail I get said it was denied. Already cancelled my supplemental and these jerks pull this. Many emails, poor replies. I just want them to tell me why a Special Election wasn't taken on my case, but, bottom line, I am glad I don't need to deal with these people. But I will be a thorn in their side til I get an answer! Please checkout their feedback, do not chose them for anything.

I called customer service today with multiple questions about coverage and services. The representative was very helpful and was able to answer all of my questions. She did not rush me or act like I was in conveniencing her in anyway. Like I said friendly and helpful.

I have very little mobility of my neck due to a herniated disk between C5 and C6 and stenosis of my spinal cord. Aetna's pre-certification team has wrongly denied my surgeon's request for surgery. They claim that I do not have at least 6 weeks of conventional PT. Yet, I did have this amount of PT at my chiropractor's office. They claim that chiropractic documentation is not sufficient, yet only 5 percent of my session was spent talking to the chiropractor, while the remaining 95 percent of the session was spent in PT in their facility. Thus, Aetna is truly playing with words here. They are prolonging my pain and ill-health, and they should be brought to court for no upholding their own medical policies. They have no shame and do not care about the wellness of the people who pay their premiums each month. They are just racketeers who juice us of money, and do not help when it is medically necessary.

Worst costumer service they hang out just because

Very bad customer service. Overseas call center in India, you can only imagine how bad customer service is in that case. Avoid them if you can.