Does Aetna have a big network?
Asked by: Miss Evelyn Schimmel III | Last update: March 3, 2025Score: 4.7/5 (48 votes)
Does Aetna have a large network?
The HMO deductible network* has more than 83,000 providers and 348 hospitals. The Aetna Value Network has more than 46,000 providers and 338 hospitals. The HMO Basic network has more than 29,000 providers and 201 hospitals.
Does Aetna have a good reputation?
Aetna's customer satisfaction is usually below average. But it depends on the specific Aetna company in your area. One of Aetna's largest companies has 7% fewer complaints compared to an average company its size, according to the National Association of Insurance Commissioners (NAIC).
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.
Where does Aetna rank?
Aetna's plans in California generally come in at 3.5 stars (out of 5) for Advantage plans and 4 stars for Part D. The average is just over 4 so that puts them right in the middle for California.
Humana, Aetna & Cigna’s Big Medicare Advantage Changes in 2025!
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.
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.
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.
Who bought out Aetna?
2017: On December 3, 2017, CVS Health announced the acquisition of Aetna for $69 billion. Larry Merlo became chief executive of the two brands. Aetna CEO Mark Bertolini resigned and Aetna President Karen S.
What is the best healthcare insurance?
Investopedia's analysis ranks Kaiser Permanente as the best health insurance company for 2025 because of its blend of affordability and low customer complaints. UnitedHealthcare and Aetna also earned top marks. We evaluated nine insurers using dozens of criteria, such as customer satisfaction, plan types, and costs.
Who is the parent company of Aetna better health?
Find out more about our larger vision for a new kind of health care company. Aetna is part of the CVS Health® family of companies.
What lab does Aetna prefer?
Quest Diagnostics®* is our national preferred lab provider for Aetna members. Their labs offer many advantages. Convenience: Visit Quest Diagnostics at www.questdiagnostics.com for appointment scheduling. This moves you to the front of the line when you arrive.
Does Aetna have a good network?
Seeing the doctors you trust and feel comfortable with matters. With Aetna®, you get one of the largest high-quality health care networks in the world.
Which is better, a PPO or HMO?
Generally speaking, an HMO might make sense if lower costs are most important and if you don't mind using a PCP to manage your care. A PPO may be better if you already have a doctor or medical team that you want to keep but doesn't belong to your plan network.
How many stars is Aetna?
Aetna® shines in Star Ratings with 88% of Medicare Advantage members in 4 out of 5-star plans or higher for 2025.
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.
Which health insurance company 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.
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.
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 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.
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.
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.
Is Aetna losing money?
The insurance arm's operating income fell nearly 40% in Q2 2024. Aetna, CVS's health insurance arm and the third largest payer in the US, is struggling amid higher medical costs and lower Medicare Advantage star ratings.