Aetna

Reviewers
Male / Female
Recommend
Yes / No
Number of Reviews Coverage Claims Customer Service Cost Total Average Rating
5 / 11 2 / 14 16 3.43 2.25 2.32 2.68 2.67

Date Submitted: June 25, 2008
Insurance Provider: Aetna in Oklahoma
Coverage: 7 out of 10
Claims: 8 out of 10
Customer Service: 8 out of 10
Cost: 4 out of 10
Recommend: Yes
Review: Costly but worth it
My family and I never had a problem with Aetna Open Access "High" Option. other then it's monthly premium. Never had issuses with customer service. In fact on many accounts they came to bat for me when the hospital/Dr. office tried to charge me unnecessary charges when having my baby. The only reason not still going through them is their premium tends to increase by $300.00 a month every couple years.
Comments [ 0 ]
Submitted by: momof4
28 year-old   ::   Female Reviewer   ::   Texas

Date Submitted: June 3, 2008
Insurance Provider: Aetna in California
Coverage: 2 out of 10
Claims: 1 out of 10
Customer Service: 2 out of 10
Cost: 1 out of 10
Recommend: No
Review: Lost Appointment
I showed up for my standard GYN appointment - first time at a new doctor. The doctor's assistant was told by the recording and also by a representative (for confirmation) at Provider Services that I needed a referral from my PCP in order to see the GYN doctor. I had researched this beforehand and I do NOT need a referral according to my coverage details. I told this to the assistant who then told it to the Aetna representative. Then, the assistant handed me the phone. The Aetna representative said, "I do not know why she handed you the phone, I cannot talk to you." He repeated this several times and insisted to the assistant that I needed a referral. As soon as I got home, I checked my documents and found that I do not need a referral. I plan to make a formal complaint for wasting my time (I had to leave work in the middle of the day to get this appointment) and an appointment (which is hard to get).
Comments [ 0 ]
Submitted by: R
29 year-old   ::   Female Reviewer   ::   Bay Area

Date Submitted: May 14, 2008
Insurance Provider: Aetna in Colorado
Coverage: 1 out of 10
Claims: 1 out of 10
Customer Service: 1 out of 10
Cost: 1 out of 10
Recommend: No
Review: Slow, Hard to make appointments, Never again
I have had Aetna Dental for 6 months now and I just received my insurance card, with no info on how the company works. Call to make an appointment and you have to be added to a list that takes another month to show up at the dentist office and if you do not wait to be added you pay everything out of pocket.
Comments [ 0 ]
Submitted by: DJ
22 year-old   ::   Female Reviewer   ::   Colorado

Date Submitted: April 27, 2008
Insurance Provider: Aetna in Washington
Coverage: 8 out of 10
Claims: 1 out of 10
Customer Service: 1 out of 10
Cost: 6 out of 10
Recommend: No
Review: Do not waste your money on Aetna
After 20 years with aetna my company finally switched thank god. Every claim with aetna turned in to hours on the phone and fax only after months to get 10 cents on the dollar. DO NOT USE AETNA. Thier tactics are amazing. Usually the need more info. then when you send it they do nothing with it untill one day you call. Then they always say "oh, somehow this did not get re filed". after another month you call and they say "need more information" and you start all over again. I saw a documentary that interviewed a claims DR from Aetna who quit because the were paid big bonuses to deny claims and people were literally dying because of it.
Comments [ 0 ]
Submitted by: mark
52 year-old   ::   Male Reviewer   ::   seattle

Date Submitted: January 22, 2008
Insurance Provider: Aetna in Maine
Coverage: 3 out of 10
Claims: 3 out of 10
Customer Service: 1 out of 10
Cost: 5 out of 10
Recommend: No
Review: Fails to follow through and live up to its claims
We have had a few different carriers in the small business realm. In 2007 we switched to Aetna and we told it would be almost the same coverage at about $2000 less per employee. They told us generic drugs had a co-pay of $10 but then, after the switch, we discovered that numerous generics are charged at the $40 co-pay rate and only a specific list of generics has a $10 rate. We also were surprised by a cost of 50% of durable goods to be paid by us. Having a CPAP machine due to sleep apnea results in my having to pay an additional $1100 a year. All of that was covered in my previous coverage.
Comments [ 0 ]
Submitted by: Scott
44 year-old   ::   Male Reviewer   ::   Portland