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Aetna

Aetna

www.aetna.com
What is your customer experience with Aetna?

Aetna Overview

The generated data is based on reviews and questionnaires provided by PissedConsumer.com users.

Based on reviews, created with AI
Rating Distribution

Aetna has a 1.5 star rating from 93 customer reviews; 17% would recommend. Consumers report widespread dissatisfaction, high price level, frequent claim and billing problems, and trouble reaching live support.

Key Takeaways for Future Customers

  • Read recent Aetna reviews for patterns of denied claims and long appeals before enrolling.
  • Expect difficulty with billing, refunds, and membership cancellations unless persistent follow-up occurs.
  • Confirm network hospitals and prior authorization processes to avoid care delays.

Negative Feedback / Risk Areas

  • Recurring Aetna customer complaints include claim denials and delayed refunds causing large unexpected bills.
  • Poor customer service access, long holds, dropped calls, and unclear authorization decisions are common.
  • Billing errors, unwanted withdrawals, auto-ship prescription problems, and membership card delays appear frequently.

Positive Feedback

Some users note functioning bill pay, occasional helpful representatives, and lower advertised prices compared with alternatives.

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Media from reviews

Aetna - Need to pay my bill
Aetna - Refusal to pay for any knee surgeryAetna - Unforgivably Bad Claims Process - lost claims, lost payments, no follow-up from...
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insurance policy account teeth issues phone charge calls insurance policy automatic withdrawal
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Asma M Ygw

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer
| map-marker Weston, Florida
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AI Highlights
  • - Avoid Aetna/CVS Health; emergency claim unresolved.
  • - Son's ambulance bill $340.88 remains unpaid after 9 months.
  • - Many calls and appeals; premium >$1,200/month.

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.

Loss:
$341

Preferred solution: nothing, I gave up

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Anonymous
map-marker Fort Worth, Texas

I cannot access any of the benefits

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I have tried to use at dentist. Eye doctor

They could not find my account I dont know why and when I try to call I can never get a human

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Catina V

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer

Cancel my insurance policy

It wasn't what I was told by the person I got it from that it was so id like to cancel my policy catina Lowe 07/22/1990

User's recommendation: Tell them exactly what they r getting not lie cause we work for our money n ppl like me can't afford to be losing money for nothing

View full review
Anonymous
map-marker Cumming, Georgia

This is a scam. Do not use them especially for eyes or teeth. They only want to pay $58 to get your teeth cleaned and if you’re out of network it’s only 60% of the $58 do not fall for this trap

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They charge you $60 a month and pay only $58 per each teeth cleaning so do the math. They pay $116 a year to clean your teeth and charge you $$60 a month. Please people do not fall for this.

User's recommendation: Maybe try Blue Cross Blue Shield

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Patrick Farrand

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer
|

This person supports our platform.

Supporter
| map-marker Gainesville, Florida

Agent misled me on a product I purchased

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AI Highlights
  • - Mortgage-insurance policy; automatic withdrawals set up; no policy received.
  • - Phone lines produced voicemails and holds; it was a final expense policy.

An Aetna agent sold me a policy stating it was mortgage insurance. This was all done by phone and was set up for automatic withdrawal.

Months later, I saw the charge on my account and realized I had never received the policy. I called three separate numbers, all of which went to voicemail. I wanted the policy and to verify what I was sold. I found their corporate number and they gave me a number to call.

That had me on hold for half an hour and then disconnected. I called corporate again and they tried the same tactic. I asked to be transferred to someone who could help me. I finally spoke to someone and asked what the policy was.

Turns out, it was a final expense policy. I requested a cancellation and was told it had to be done by mail. I wrote to them at the address I was given and requested a hard copy mailed to me with confirmation of the cancellation. It all took a little over two hours and it was like pulling teeth.

Now, I'm waiting to see if I was successful. I'll call my bank to see if I can stop the automatic withdrawal.

Loss:
$4
Cons:
  • Misrepresentation of products
  • Misinformed reps

Preferred solution: Full refund

User's recommendation: Due diligence

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Abdou Gfl

Checking on

AI Highlights
  • - Please answer my calls and tell me what happened.
  • - I was told I am eligible for a food allowance card.
  • - The caller is 84 and will be 85 soon.

Answer my calls and let me know what happen. I was told I was ehinle for food allowance card.

Hdvd been waiting for months and months and no card Getting to you is like pulling teeth. Just send me csrd so I can buy food

Been waiting too long now. Thank you.

84 years old...will be 85 soon. Thank you

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Shemekia Ctl

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer

I have an appointment and my doctor is saying my account is not active

AI Highlights
  • - No opportunities to treat hepatitis C for the past year.
  • - Insurance focuses on testing; hepatitis C has persisted 20 years and caused damage.

I have been given no opportunities to get my issues resolved. Ive been trying to get hepatitis C treatment for the last year and no matter what I do its not happening I am appalled and I am not happy with this insurance.

Ive had hepatitis C for 20 years and its doing it damage and all this insurance wants to do is keep testing. Ill be on my deathbed before I get any treatment

User's recommendation: Do research and find any other company that will try to at least help resolve your matters instead of trying to run test after test and put you in a coffin first

View full review
Gary N Elb

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer
| map-marker Vancouver, Washington

I need my policy had a life insurance policy sent up for 30000 at 246 a month which I have paid already 2 payments but no policy yet so

Updated by user Oct 19, 2024

It took me along time to finally get hook up with someone would help me as to why I didn’t get my policy in the mail even though they had taken out 2 payments. Finally I’m getting it sent to me after going it seemed fro one person to another.

Original review Oct 18, 2024

I have told you everything. I need some help, please.

I can't give you 100. Please have someone call me.

Preferred solution: Someone to help me with a policy i have not received yet

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Rakiya S Cjm

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer

No hospital near

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AI Highlights
  • - No longer in-network with the only nearby hospital; care requires a one-hour trip.
  • - I wouldn't recommend this health insurance and plan to switch soon.

They decided to no longer be in network with the only hospital near me. Now we have to go an hour away if we need to be seen.

All the places that accept Aetna near me are *** I would never recommend this health insurance they are being cheap and hurting so many people who really need the care. A bunch of money hungry *** As soon as we can change we will be doing so.

Cons:
  • All about money

Preferred solution: Nothing

View full review
Melody B Ihz

Flex Card

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Why can't companies in the United States of America hire any American people so we can understand what our problems are and how we can get them fixed? We need people who speak fluent English!

Loss:
$70

Preferred solution: My Pay Flex card to work.

User's recommendation: Demand people who speak English clearly

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borzol Z

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer
|

This person supports our platform.

Supporter

Long waiting for authorization.

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My doctor sent the request for authorization of LIDOCAINE 5% OINTMENT on 4/9/24. How long can it take to get authorization for a medication?Look for

Preferred solution: My doctor sent the request for authorization of LIDOCAINE 5% OINTMENT on 4/9/24. How long can it take to get authorization for a medication?

User's recommendation: Look for another insurance.

View full review
Anonymous
map-marker Charlotte, North Carolina

My gift card

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AI Highlights
  • - The May 22, 2024 call went very well; the team took their time and did their job correctly.

My call on May 22, 2024 went very well because everyone took there time and did there job correctly and in my near 60 of age is something great to know because some people just don't care about there job nor the people who is paying there bills /check so keep up the good work you guys thanks alot and I hope y'all will do every people the same way you did me

User's recommendation: Theses guys are great

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Aminata K Env

This review is written by an individual who has purchased the reviewed product/service and/or confirms being a paying customer of this company. Check our FAQ

Verified Buyer
|

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer
| map-marker Brookhaven, Pennsylvania

My copayment is very high

AI Highlights
  • - Copay for essential medication remains very high and hasn't dropped after the deductible, raising concerns about affordability and access.
Contains 1 confidential file for company representatives

My very much needed medication copay is very high, they told me that after Ive reached my deductible my copay will go down but that did not happen yet, so Im wondering how I will be able to keep up with getting my medication consistently if I cannot afford to pay my copay.

Preferred solution: Price reduction

User's recommendation: Please make sure you understand very well the benefits of your plan before you choose a plan

View full review
1 comment
Guest

maybe you should get a better health plan that you can afford

Insurance Expert Talks

Insurance Claims Tips: What Red Flags to Watch Out

Insurance Claims Tips: What Red Flags to Watch Out

How to file an insurance claim? Why do you need a public adjuster? Vince Perri, CEO of Commercial Claims Advocate, shares his best tips about insurance claims. Find out how to deal with complex residential insurance claims and commercial losses.

Read full article
Vince Perri
Vince Perri

Vince Perri is a Expert Claims Adjuster and CEO of Commercial Claims Advocate. He has over 14 years of experience in handling large commercial losses and complex residential insurance claims.

Kirsten H Sbv

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer

Aetna insurance plan

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AI Highlights
  • - I canceled my plan multiple times and got confirmation numbers.
  • - My primary insurance shows canceled but remains active; I want it canceled now.

I have canceled my plan now a couple different times and everytime it was supposed to be canceled they gave me a confirmation number and now even my primary insurrnce plan. Is staying to me that I still have Aetna insurance and it's supposed to be long canceled I need to know why or what the issue is and why it's not being.

Canceled when I called 3 different times and I was told it was cancelled it needs to be canceled now. Or I need to speak to a higher up this is ridiculous

Preferred solution: Aetna canceled as my insurance

User's recommendation: Dont use aetna plan sucks

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Tonya P Uch

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer

Prescription

AI Highlights
  • - Price rose to $90; insurance covers $19, leaving about $80 out of pocket.
  • - CVS (3 locations), Publix, Kroger had none in stock; seeking legal access.

So, I've been getting this prescription filled for over 6 months, right? And the manufacturer goes and jacks up the price to $90.

Aetna, my insurance, is only willing to cover $19. So, I'm stuck paying the difference of $80. I tried going to other pharmacies, like CVS (3 locations), Publix, and Kroger, but none of them had it in stock. The whole thing was a huge waste of time, money, and energy.

And all I'm trying to do is get my medication legally. It's so frustrating!

Loss:
$100

Preferred solution: Full refund

View full review
Donna J Ijj

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer

Appeal

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AETNA CUSTOMER SERVICE TOLD ME I HAD CHIROPRACTIC COVERAGE. THIS WAS THEIR EMPLOYEE.

THEN TOLD ME I DIDN'T WHEN I ASKED ABOUT RECEIVING COPAYMENTS FOR MAY 4, 2023 TO OCTOBER 1, 2023. SECOND TIME I WAS TOLD TO SWITCH TO PPO FOR OCTOBER 1, 2023 TO DECEMBER 31, 2023 AND I WOULD HAVE COVERAGE WITH INSERVICE OR OUT OF SERVICE. I WAS JUST TOLD WHEN I CALLED THAT MY APPEAL WAS DENIED WHEN IT WAS THEIR FAULT. I WILL NEVER RECOMMEND OR TAKE AETNA AGAIN.

THEY DO NOT CARE ABOUT THEIR CUSTOMERS. I HAVE PAID OVER $2400.

OUT OF MY POCKET. DR HORN AND DR TREY HAVE BOTH HELPED ME WALK AGAIN AND CONTINUE TO BE PAIN FREE.

Loss:
$2400
Cons:
  • Do not help their subscribers

Preferred solution: Part of a payment for CHIROPRACTOR

User's recommendation: DO NOT SUBSCRIBE TO AETNA EVER..THEY DO NOT CARE

View full review

About

Related Companies

CVS Health, CVS Pharmacy, Minute Clinic, CVS Caremark, Coventry Health Care

Summary

Aetna is a company that was established in 1850 when its first life insurance policy was issued.
At the present time the company is headquartered in Hartford, Connecticut. Aetna specializes in health care plans and provides a set of different traditional and customer-oriented health care insurance products and health insurance-connected services such as pharmacy, dental, disability plans, medical management, etc.
Net income of the company is $1,702 billion. It employs 31,000 people. This diversified health care benefits company is on the lists of Fortune 100. Nowadays Aetna is represented in Canada, Australia, Great Britain, Spain, China, Indonesia and Korea.

Aetna reviews and complaints

Aetna is ranked 297 out of 2419 in Insurance category

Area Served

USA

Payment Methods

MasterCard

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