Are people happy with Aetna insurance?

Asked by: Jaime Kozey V  |  Last update: October 10, 2025
Score: 4.4/5 (31 votes)

Aetna is one of the cheapest health insurance companies and is good if you're on a budget. But Aetna's customer service is typically below average. The company may not be the best choice if you have a complex or chronic illness, or if customer satisfaction is a high priority for you.

Is Aetna considered good insurance?

It also offers benefits like access to 24/7 virtual care at no or low costs, depending on your plan, and mental health coverage. Aetna is regarded as a good health insurance provider overall.

Why is Aetna struggling?

Aetna majorly miscalculated utilization trends in pricing Medicare Advantage plans for this year, causing hundreds of thousands of seniors to flock to its generous coverage and saddling the insurer with an unexpectedly steep price tag for their care.

Does Aetna deny a lot of claims?

In the same year, Medicare denied 6.85% of its claims. One year later, AMA reported that all the surveyed insurers were denying fewer claims: Aetna's denial rate was down to 1.81%, Anthem BCBS reduced its rate to 4.34%, and private insurers overall were down to 2.79%, while Medicare denied only 4% of claims.

How does Aetna health insurance rank?

By membership and revenue, Aetna is ranked third in the country for health insurance. Aetna has over 22 million members and receives annual revenues of over $60 billion.

Why are people choosing Aetna over other health insurances?

17 related questions found

Why is Aetna so expensive?

Factors influencing Aetna insurance monthly costs

Plans with broader coverage and extensive benefits, such as lower deductibles, co-pays, and comprehensive services like dental and vision care, often come with higher monthly costs.

Which health insurance denies the most claims?

According to the analysis, AvMed and UnitedHealthcare tied for the highest denial rate, with both companies denying about a third of in-network claims for plans sold on the Marketplace in 2023, respectively.

What is the class action lawsuit against Aetna?

The lawsuit seeks a declaratory judgment, injunctive relief to end Aetna's exclusionary policy, and compensatory damages for all policyholders who have had to pay out of pocket for gender-affirming facial surgery because of Aetna's discriminatory exclusion.

Does Aetna cover surgery?

If you successfully meet the requirements, then your insurance provider will cover the costs of the surgery or treatment plan recommended by your doctor. Elective or cosmetic plastic surgery procedures are typically not covered by Aetna insurance policies.

What is happening to Aetna?

CVS is removing Brian Kane, the head of Aetna, citing the division's poor performance and outlook. CEO Karen Lynch, who was the president of Aetna from 2015 to 2021, will now lead the business, while CFO Tom Cowhey will help oversee its day-to-day operations.

Is Aetna good insurance for seniors?

Aetna is an established health insurance company with a long history of providing coverage and support to millions of seniors across the country. Their Medigap plans offer a variety of benefits and options to make sure that older adults have the quality care they need and deserve.

Is Aetna in financial trouble?

Aetna's revenues hit $33 billion in Q3, up from $26.3 billion in Q3 2023. But it posted an adjusted operating income loss of $924 million this year. Its Medical Benefits Ratio was 95.2% in the quarter, compared to 85.7% in the same period last year.

What is the best health insurance company to go with?

Best Health Insurance Companies for 2025
  • Best Overall and Best for Self-Employed: Kaiser Permanente.
  • Best Widely Available Plans: UnitedHealthcare.
  • Best for Low Complaints and Best for Chronic Conditions: Aetna.
  • Most Affordable: Molina Healthcare.

Do doctors prefer HMO or PPO?

HMO plans might involve more bureaucracy and can limit doctors' ability to practice medicine as they see fit due to stricter guidelines on treatment protocols. So just as with patients, providers who prefer a greater degree of flexibility tend to prefer PPO plans.

Why is Aetna not paying claims?

If you've had a health treatment or disability claim denied by Aetna, it could be because: The procedure is considered cosmetic (not medically necessary) Your doctor is out of network or doesn't participate in the plan. Your plan doesn't cover your medical condition.

Who took over Aetna insurance?

2018: On November 28, 2018, CVS Health completed the acquisition of Aetna. The company's ticker AET is delisted from the NYSE.

Does Aetna cover accidents?

Accidents are just that — accidents. You can't plan for them. But, you can financially protect yourself as much as possible. The Aetna Accident Plan pays you cash benefits for services related to a covered event, such as a broken ankle.

What insurances are not recommended?

15 Insurance Policies You Don't Need
  • Private Mortgage Insurance. ...
  • Extended Warranties. ...
  • Automobile Collision Insurance. ...
  • Rental Car Insurance. ...
  • Car Rental Damage Insurance. ...
  • Flight Insurance. ...
  • Water Line Coverage. ...
  • Life Insurance for Children.

What is the most expensive health insurance?

Platinum health insurance is the most expensive type of health care coverage you can purchase. You pay low out-of-pocket expenses for appointments and services, but high monthly premiums.