AetnaReviews of aetna.com

Aetna has provided multiple barriers for years when it comes to reimbursing me for allowable Medical Expenses. It is unclear whether Aetna’s Claim Department is staffed by humans or is AI driven. In submitting the same allowable Medical Claim weekly for Reimbursement that is allowed with my plan for over a year, there is now a barrier and delay to my getting reimbursement. The bill I submit clearly states on the bill by the Physician that I paid for the service out of pocket. It is inconceivable that after reimbursing me for the exact same bill for a year, I am now not being reimbursed. Now with every bill submitted in July, I am told I need to submit proof of payment. That is an absurd request from Aetna, since the payment details on the bill showing I paid in full, has not changed in over a year. This leads to having to send written documentation requesting payment I am due. It also means calls to Aetna, with my being told by each and every Health Concierge that the Coding Department at Aetna made an error. You could say if it happened once that it was a Human or AI error. But now that it is happening weekly, despite submitting all the required documentation to Aetna, it is now recurrent, delaying my reimbursement. If you have options other than Aetna, please look elsewhere. My experience is that profits are key for Aetna and not patients.

I hate this insurance. No matter who you get in customer service no one knows what they are talking about. My dentist office been waiting for a simple fax for 6 months now. They are the worse. I called customer service yesterday and the man answered the phone but didn’t say anything. I heard his background and him coughing he was hoping I would hang up after waiting 10 minutes for a person. I repeatedly said hello I hear you!!! After the 3rd time he started laughing saying oh sorry. How unprofessional!!!!!!! I can’t stand Aetna. And the coverage sucks

Aetna is got to be the most abusive heath insurance company there is in the market. I got stuck with Aetna 3 years ago when they absorbed the company that I had for my medications, as I am with Medicare. Arbitrarily they went from $28.00 in 2023 to $48.00 monthly in 2025, to $98.00 monthly in 2026 ! That is double and over 100% Year over Year! They don’t matter raping their customers to squeeze arbitrarily the most the6 can without any concerns, when I called them to complain, they blew me off, cancel my coverage and told me to call Medicare and seek help! It is obvious they don’t give a damn about their customers. I once was an insurance agent for another company, but I have never seen a blatant disregard from an instance company like Aetna is now I don’t have any coverage for prescriptions until the next enrollment period in October! I warn everyone that is considering Aetna to go somewhere else! This company is ruined by thugs and fraudsters that have no regard for their customers . As a normal citizen I don’t have the power to fight an abusive company like Aetna but the only way I can fight back is to warn those people considering going with them to seek other professional and honest companies that are not seeking to screw their customers ! Stay away from Aetna! If you don’t you will become another victim like me!

This healthcare denies every claim When a top rated Boston Surgeon says this type of surgery is needed these ilow skilled claims reps 1) can’t read medical terms, 2) tell your doctor and you you don’t meet criteria but when you ask what aren’t we meeting they can’t even ans this This is an insult t to the doctors & Patients We have requested approval 3x plus appeals and everything is DENIED Insult over injury they keep sending the same BS paperwork to your email, text o Ed & over approval DENIED Team Luigi !

I turned 65 in January of 26'. Medicare kicked in and I selected Aetna Medicare Advantage for my supplement plan. My primary care doctor was listed which was good. Unfortunately I couldn't select him as my PCP because Aetna had him erroneously listed as a specialist, which he is not. I called over 20 times, spoke to someone different every time, even got on a three way with my doctor to rectify this, yet it took until July to get it done! I spoke to three separate resolution specialists, who each said they'd call me back, none ever did! I finally received my new card listing my doctor as my PCP. Unfortunately, the next day my doctor received a letter that Aetna is dropping him, with no explanation whatsoever! Aetna customer service is the worst! I am definitely switching when open enrollment happens.

I would give them zero stars if I could. They approved a surgery I had last year, so my surgeon scheduled it, and then Aetna proceeded to bill me in full for months, saying it wasn't covered. The hoops I've had to jump through to take care of this was such a time suck. I think they just hoped I would go away but it was over $70k! Now, I need a medication, and they have denied coverage despite loads of documentation that it's medically necessary, and I've already tried all the 'starter' therapies. It's just a mess. All my approved prescriptions disappeared and my doctor had to refax, or resubmit all of them. It takes forever to get them to do their job and they don't communicate. They just tell me to call the pharmacy, call my doctor- but heaven forbid they step in on my behalf and help ME, their customer.

Stay away! These people will do nothing but run you around in circles and flat out lie to your face and pass the buck to the next representative that you got to deal with. I've been lied to on eight different phone calls eight different times including supervisors and even their complaint department that I left a review about. It's absurd that these people handle Medical necessities. I was told I was going to get mailed exactly what they were telling me over the phone only to be disappointed for the 8 hours later when I never got the email and here we are a month and a half out and I still don't have the email they lie flat to your faces.

Zero stars. Aetna assigned two dramatically different allowed amounts—$105.28 and $258.79—to two office visits from the same in-network physician. Both claims were billed at $298 under the same CPT code, 99214. After multiple complaints and appeals, Aetna still could not identify the specific pricing factor that caused the difference. The final appeal response repeated my deductible and combined separate office, ECG, and hospital laboratory claims but did not answer my actual question. During my call, the representative offered several changing explanations, including laboratory services, visit duration, complexity, deductible, and the physician’s contract. She later admitted that she did not have access to the actual pricing calculation, contractual rate, or fee schedule. She could not connect me with the department that issued the final decision. She suggested a federal dispute but could not name the organization or confirm that it handles allowed-amount disputes. I requested a supervisor. A callback request was supposedly submitted, but the representative could not confirm that the supervisor would call. No supervisor ever called me. Aetna can calculate exactly what the patient owes, but no accessible employee can explain how the amount was calculated. This is a complete failure of transparency, accountability, and customer service.