Is Aetna CVS Health good insurance?
Asked by: Leilani McGlynn DDS | Last update: August 26, 2025Score: 4.6/5 (7 votes)
Is Aetna CVS Health the same as Aetna?
Refer to Aetna.com for more information about Aetna® plans. Aetna and MinuteClinic, LLC (which either operates or provides certain management support services to MinuteClinic-branded walk-in clinics) are part of the CVS Health® family of companies. Each insurer has sole financial responsibility for its own products.
What is the best health insurance company to go with?
- 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.
Is Aetna health insurance worth it?
People choose Aetna for its vast network of providers, competitive rates and long history in the insurance industry. 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.
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.
Is Aetna CVS Health Good Insurance? - InsuranceGuide360.com
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.
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.
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.
What are the ratings for Aetna?
Aetna Medicare Advantage plans are rated above the industry average, receiving an average rating of 4.27 stars out of 5 from the Centers for Medicare & Medicaid Services (CMS) for 2025, weighted by enrollment. For comparison, the average weighted star rating for all plans is 3.95.
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.
Do you get a discount at CVS with Aetna insurance?
20% off select CVS Health-branded health and wellness products. Access to Aetna Managed Pharmacy Network, CVS Specialty® pharmacy and Coram® home infusion services.
Why did CVS take over Aetna?
Amidst all the buzz surrounding the merger, this article elucidates the motivations behind it, including operational cost-cutting, expanded services as a competitive advantage, and threats from both Amazon and UnitedHealth. This piece also explores potential market effects.
Is Aetna CVS Health Medicaid?
Aetna® Medicaid plans
As part of CVS Health®, we know that good health starts close to home. Through plans like Aetna Better Health®, we strive to develop positive, long-term relationships with our members, providers and the communities we serve.
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.
Does Aetna have copays?
The plan requires only copays for medical services and prescription drugs up to the plan member's out-of-pocket maximum, with no deductibles or coinsurance costs.
Does Aetna pay for groceries?
Understanding the Aetna Extra Benefits Card
This benefit is provided via a prepaid Mastercard that has a monthly allowance for healthy foods, OTC items, transportation, utilities, personal care items, pet supplies, rent or mortgage assistance.
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.
Is Aetna insurance good in all states?
Aetna offers group health insurance plans in all 50 states and in terms of membership is the third largest health insurer in the United States behind United Healthcare and Anthem Blue Cross. In California, Aetna ranks sixth in number of members among health insurance companies.
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.
Does Aetna cover MRI?
Aetna considers magnetic resonance imaging (MRI) medically necessary for appropriate indications without regard to the field strength or configuration of the MRI unit. Aetna considers intermediate and low field strength MRI units to be an acceptable alternative to standard full strength MRI units.
What surgeries are not covered by insurance?
Cosmetic procedures such as plastic surgery or vein removal are nearly always considered elective and so are not covered. Fertility treatments are only covered in certain states, and even then, there are loopholes that allow insurers to deny coverage.
How long does it take Aetna to approve surgery?
Once your doctor sends a request for prior authorization, Aetna reviews the request. During our review, we look at the most recent and highest quality medical research and guidelines. We update your care provider throughout the review process to keep them informed on the status, and come to a decision within 14 days.