Aetna Reviews 321

My wife and are covered under Aetna this year and everytime my Dr prescribes a medication it has to go through a prior authorization. First it was testosterone, they were fast at denying that. My Dr had to go through an appeal but finally got it approved. Then there's mounjaro. I need it for diabetes. It took them one day to deny that so once again my Dr appealed. This time it took almost a whole month to tell me they are still going to deny it. Why are we paying such high insurance prices if these insurance companies are allowed to deny everything? I would stay away from Aetna at all cost if your deciding on an insurance company.

Aetna is literally the worst insurance I have ever had. I am trying to find a new job solely so I can avoid having Aetna. They deny everything, don't abide by the pricing in your benefits, have no clue what they are doing and are a pain to deal with. Last time I called I asked for where I could find a list of what's considered a "specialty visit," and the girl said, "umm, I don't really know." That was it, no offer to help, no offer to ask, nothing. My Rx has tripled and cannot be filled at the same pharmacy it was last year (Walgreens, not like a mom and pop place). Just AWFUL.

As the office manager of a medical practice,
Aetna US Healthcare allows 87.00 for
an one hour Initial Evaluation, 97.00 for
a 30.00 minute follow up and 159.57
for a 60 min session. All includes medication
management and therapy. We gave our patients
a 6 month notice that we could no longer accept
this Insurance effective 01-01-2026.

I had United Health Care Advantage plan for years. This year they are no longer in my county so I went to Aetna. I have been with Aetna for 3 weeks and I cancelled today before I got locked in. Aetna is a scam. They denied all 4 of my critical medications, and one of my main providers, all of which were covered by United. I had them once before and needed throat surgery for a tumor. I had had a biopsy, CAT scan, Ultrasound, MRI, and been seen by 2 surgeons. They denied the surgery and demanded I see one of their doctors in a city 7 hours away, a ploy to say I didn't need the surgery. Stay away from Aetna.

I'd add a zero if possible....horrible. They claim a 10 day max payout on claims....yeah right, we have unpaid claims for months. Frustrating because they say they have all the documents to process it, then you wait 10 days and call back, then they ask for another document and wait 10 more days. this can go one for months.

Will not reimburse me when I didn't use their service. I need to proof insurance of insurance. Terrible company

Just about the worst phone customer service, for health insurance, and that's saying something, I've ever had the displeasure of having to contact.

I have an Aetna part d prescription plan. In 48 months, my premium has gone up 840%! And in the 48 months I've had it, I've never used it once. Given that I was unaware of this insane increase, I missed the open enrollment. Now I'm trapped at $94 a month for the entire year of 2026 for a plan I will never use, as I have no prescriptions.

Atena Medicare Premier PPO higher out of pocket costs constant denials of coverage for Petscans and prescription B drugs with no actual medical review just denial. I had been satisfied with Aetna for several years but who ever changed the plans screwed them up badly. Time to look elsewhere.

GARBAGE! IVE BEEN TRYING TO CANCEL MY ACCOUNT FOR OVER A MONTH AND EVERYTIME I TALK TO A SERVICE PERSON THEY SAY "ok it's cancelled" i even got a cancellation email, then on the first of the month they tried to automatically withdraw my premium! I had to cancel my card so they could keep taking money! So when I call today the service person says "IDK why Aetna is trying to charge you, it must be an error, just disregard it." I'm like I would if they weren't trying to auto take my money from my bank account, now I have to wait for a new card to get here! THANKS GARBAGE COMPANY!

Automated system is broken and terrible and won't let me through to a person. It's Monday. I called at 9:30 and 10:20. The automated system says the office is open 8 am-6 pm Monday -Friday but then said it's closed now. Makes no sense. Also, it said it could help with coverage but when I said I wanted help with coverage it said "goodbye". It's terrible.

If I could give them a zero, I would. My mother n law had a life changing event and had to have therapy. They discontinued therapy so fast within 2 weeks. We are in the process of moving her to assisted living. They allowed no time for therapy, at least 2 more weeks would be better. It’s a HORRIBLE insurance for the older population

Overall - Very Mixed!
First, the Aetna website does not make it easy to give feedback or review their services!
Second, to all those who need hearing aids, Aetna will ONLY allow members to use "NationsHearing" as a provider for hearing services.
Nations-Hearing has a very poor reputation according to online ratings. That was my experience as well!
Why does Aetna set a fixed amount toward hearing aids, and, then only allow members to go to one provider-group!!! Makes no sense!!!

Both the wife and Ihave a dual covererage policy with aetna. We have had this coverage for the third year all due to the lies we were told by aetna CSR's during open enrollment for the 2026 year. We wete assured that we would have no co-pays to see specialist, no co-pays on prescription meds we have to have. Also there would be no out of pocket for hospitalizations or emergency room visits. Along with NO co-pays for having to be teansported via either private ambulance or fire rescue.
Then come 01 Janyary 2026, we have co-pays to see specialist, co-pays on medications, deductibles for hospital stays, co-pays for each individual lab test, along with an annual out of pocket expense on top of the co-pays we have to pay. Along with huge deductibles for any type of surgery, or any other type of tests and procedures or dirable medical equipment and supplies.
They are also trying to tell us that we can change our coverage plan during a 90 day grace period. I checked with the Medicare dept at Social Security. If either of us changes our plan before this year's open enrollment starts, we will be fined $150.00 per month for late enrollment thru the end of 2026.
One CSR will tell you one thing, another will tell you something else, and a third one will tell you something completely different. All they do is tell you what you want to hear. Aetna refuses to answer complaints filed with our State Insurance Commissioner, the three complaints that have been filed with the BBB, saying they cannot respond due to HIPPA regulations. Which is crap, as I used to work in the medical field and know about HIPPA regulations. They used the same excuse with the grievance filed with the Federal Trade Commission.
They are also getting where if you receive the Extra Help Benefit card, what it can be used to buy in the way of food, bills that it can be used for. Along with only certain otc meds and supplements.

Ridiculous, every year gets worse. Next year I’m changing. So disappointed.

Dental Policy: It's a waste of money. They wont pay. I've had periodontal maintenance, surgeries, and procedures for over 15 years. Bought their dental policy last year but they refused to pay claims based on one meaningless reason: I can't prove I had root planing done.

I had root planing done a couple times more than 17 years ago. That periodontist is long out of business.

Not only that, but getting SRP done is completely unrelated to whether a person needs periodontal work. It's a specious reason, and this is what's going on these days in the insurance business.

Read the reviews carefully for any policy you buy. I have had very good experiences with Wellabe/Medico in the past. They don't have "gotcha" reasons for denying claims, and if they do deny a claim it is usually reasonable. Seriously, look into it.

Allowed Aetna to take my payment out of my social security check 3 yrs ago have been fighting ever since to get it stopped even though they don't insure me anymore and haven't in 2 years they continue taking money out of my check. total fraud and can not do nothing other than post a review and hope it helps someone else.

Billed me my full deductible twice back-to-back and wouldn't correct it, so an extra $600 that should have been covered. Then proceded to charge me more than my out-of-pocket maximum for the year. Their website registered that I hit it exactly, but when I downloaded the claim summary for the date range of the year, they had continued to charge me beyond my maximum in-network limit.

I paid into Medicare Advantage Plus via Aetna every month and here I am not in July of 2025 but now January 2026 and still fighting to get my medical bills paid. Just today alone I was on the phone for just under and hour. I have made calls starting back in July 2025, error seen would be corrected and near 8 months later, still waiting. I even had to prove I had no other health Ins even though Medicare itself showed I ONLY had Aetna. Reps have asked me questions that frankly are none of their business like where did I last work near 2 decades ago, when was my last date of employment, heck, was near 2 decades ago I dont remember, who was my last health Ins company, told them, who before that, I told them I have been covered under my husband for over 4 decades. I am so weary of hearing 30 to 45 days, COB dept supposed to call me NOT a word. I will never recommend Aetna to anyone, their customer service is a FAILURE.

I was ok with Aetna until their rates more than doubled in 2026. I only take one drug that without a drug plan would cost me about $250/yr.
I know it is my fault for not looking at any increases during the enrollment period. I'm just so naive about things like this. I was unable to get out of the plan without the possibility of hurting my credit. Yes, the customer service is terrible. (It will drive you up a wall.) In disgust, I paid the total amount yesterday (over $1000) and wrote them off as a bad company to do business with.
P.S. If you ask Google about any complaints about rates going up, they specifically mention about Aetna doing just that and how many people have complained.

No specific major drug insurance plans universally
doubled their prices in 2026, but some Medicare Part D plans saw significant premium hikes, with individual plans like SilverScript Choice experiencing up to a $50 (or more) increase in some states

Varying Part D Premiums: While overall standalone Part D premiums averaged a slight decrease nationally, actual costs varied wildly by state and plan, with some enrollees seeing large increases