Aetna Insurance Review & Complaints: Health Insurance (2024)

Premiums
Claims
Feedback
Financial Strength

Aetna, Inc. is a publicly traded (NYSE: AET) health care company headquartered in Hartford, Connecticut. They operate all over the United States, and currently employ over 30,000 people. Aetna is the nations third largest health insurer, Unitedhealth Group is first and Anthem is second.

While their roots date back over 200 years with the beginning of what was then called Aetna Fire Insurance Company, the company as we see it today was officially founded in 1853. They have grown immensely throughout their history, expanding to offer many different plan types, including Medicare plans, a partnership with CVS Health, and being a pioneer among health insurance providers.

See our Aetna Medicare review here

What products are offered by Aetna Health Insurance?

Aetna provides a wide range of health plan products to meet the type of coverage needs of individuals, families, and businesses policyholders. Some of their most popular type of health insurance coverage offerings include:

• Medical Insurance
• Dental Insurance (See our Aetna Dental Insurance Review.)
• Vision Care
• Disability Insurance
• Pharmacy Coverage
• Life Insurance (Through the Aetna Life Insurance Company)
• Business Medical Insurance
• Business Dental Insurance
• Business Vision Insurance
• Medicare Advantage Plans
• Medicare Supplement Plans

Are there a lot of consumer complaints about Aetna?

Although Aetna Health Insurance Company is not accredited with the Better Business Bureau, the company currently maintains an A+ rating. In the past three years, there have been 591 customer complaints filed against the company, 214 of which have been closed in the past 12 months. The largest customer complaints category concerns “Problems with Product or Service.” A close second is “Billing and Collection Issues.”

The number of complaints on Consumeraffairs.com is 688 for Aetna Health Insurance. There have been a total of 82 ratings left by reviewers, 79 of which were one-star. The popular consumer websites customer reviews revolve mainly around poor customer service and coverage issues. The complaints are not only from customers but also network doctors and other medical professionals who have difficulties and concerns about dealing with Aetna’s representatives and policies.

The second major complaint is not receiving health benefits coverage they believe is due. This can happen for multiple reasons including customers not understanding the coverage provided in the health insurance plan, health insurance providers changing coverage and not properly notifying customers, discrepancies in the provider network, and even health providers claiming a particular service was not medically necessary.

How are Aetna’s Financial Strength Ratings?

*These grades have been standardized for comparison. For more information, click here.

Claims Procedure for Aetna Insurance

Ease of Filing a Claim

Aetna offers multiple convenient methods for policyholders to file claims. Whether you prefer an online, over-the-phone, or mobile app-based approach, Aetna provides various options to cater to your needs. The ease of filing a claim is an important aspect of any insurance experience, and Aetna strives to make this process as hassle-free as possible.

Average Claim Processing Time

One of the critical factors that policyholders consider when choosing an insurance provider is the speed at which claims are processed. Aetna’s claim processing time is a crucial aspect of their service. Policyholders want to ensure that their claims are handled promptly and efficiently, and in this section, we will delve into the average claim processing time offered by Aetna.

Customer Feedback on Claim Resolutions and Payouts

Customer feedback plays a significant role in evaluating the quality of an insurance provider’s claims process. In this section, we will explore customer reviews and feedback regarding Aetna’s claim resolutions and payouts. Understanding the experiences of other policyholders can provide valuable insights into how Aetna handles claims and compensates its customers.

Read more: Aetna Insurance Review & Complaints: Medicare 

Features of Aetna Insurance’s Digital and Technology

Mobile App Features and Functionality

In today’s digital age, insurance companies are increasingly offering mobile apps to enhance their customers’ experience. Aetna is no exception, and in this section, we will delve into the features and functionality of the Aetna mobile app. From policy management to accessing resources, we will explore how Aetna leverages technology to provide convenience to its policyholders.

Online Account Management Capabilities

The ability to manage your insurance policies online is becoming a standard offering in the insurance industry. Aetna provides online account management capabilities to its policyholders, allowing them to access and modify their policies with ease.

In this section, we will discuss the online account management features offered by Aetna, empowering policyholders with digital tools to control their insurance accounts.

Digital Tools and Resources

Beyond mobile apps and online account management, Aetna may offer various digital tools and resources to assist policyholders in making informed decisions about their coverage. From educational materials to calculators, these digital resources can be invaluable.

This section will explore the digital tools and resources provided by Aetna to support their policyholders in navigating the world of insurance.

What’s the bottom line?

Aetna operates all over the country and has a lengthy list of healthcare-related products they can offer, with behavioral health options, multiple tiers of coverage to choose from, Medicare Advantage and Medicare Supplement plans. Additionally, they offer many different health care solutions for employer health insurance at businesses of all sizes. Competitors include Cigna and Anthem Blue Cross Blue Shield, but Aetna has its own positives as an individual or employer health insurance.

Aetna has been in the news more recently as they were on route to merge with Humana, however, the merger was denied as a judge ruled that the merger was not in the best interests of consumers or competitors. That did nothing to slow their enrollment, and they went on to merge with CVS Health later on. Aetna is a very large company with strong financial backing, reputation, and plenty of options for policyholders.

Although the company does not offer the best rates, they are certainly worth taking a look at because you may find that your premium is worth the price. It is also important to note that none of the Medicare plans have a premium; there are also no copays for visits on most of those plans, making them a great option for those who need extra medical coverage or lower medical costs even though they have Medicare.