Is Aetna insurance any good?

Does Aetna cover pre existing conditions?

Pre-existing condition limitations: Aetna does not cover services for pre-existing conditions until you have been covered by your contract for 12 months. ... The 31 days are measured from the last date the other coverage was in force on a premium-paying basis, for a condition covered by your former health benefits plan.

Does Aetna work out of state?

The Short Answer: All plans cover emergency services at any hospital in the United States, regardless of what state plan was purchased from, with the exception of Hawaii. Every health plan has a “network” of healthcare providers. ...

Who is Aetna affiliated with?

Aetna agrees to be acquired by CVS Health Corporation in a transaction valuing Aetna at about $69 billion.

Does Aetna cover eyeglasses?

As an Aetna Vision Preferred member, you're covered for routine eye exams and either one pair of eyeglasses (lenses and frame) or contact lenses or prescription sunglasses.

Why did Aetna deny my claim?

If your health or disability benefits have been denied, Aetna may have claimed the following: The procedure is merely cosmetic and not medically necessary. The treating physician is out of network or out of plan. The claim filed was for a medical condition that isn't authorized or covered.

Is Aetna a PPO?

With the Aetna Open Choice ^® PPO plan, members can visit any provider, in network or out, without a referral. But when they stay in network, we'll handle the claims and offer lower, contracted rates.

Does Aetna cover dental?

Aetna does not provide dental, medical, vision or other health care/treatment.

What is Aetna known for?

As one of the nation's leading diversified health care benefits companies, Aetna provides people with information and resources to help them make better informed decisions about their health care – and the financial side of health care. Our health insurance products include medical, pharmacy, dental, behavioral health.

Is cataract surgery covered by Aetna?

Aetna considers combined glaucoma and cataract surgery medically necessary for persons with a visually significant cataract with uncontrolled glaucoma despite maximal medical therapy and/or laser trabeculoplasty.

Does Aetna cover glasses for adults?

Does Aetna cover vision care? Aetna Medicare Advantage vision coverage will include yearly eye exams to check your vision and monitor your eye health. Aetna vision plans also cover frames, prescription lenses, and even contact lenses. Aetna provides a yearly allowance for frames and prescription eyewear.

Does Aetna cover 1800 contacts?

Yes, yes we do. We're in network with some of the largest vision insurance providers. ... Just complete the out-of-network form and submit it and your order invoice to your insurance company for reimbursement. It's that easy.

Does Aetna own first health?

First Health is a wholly owned subsidiary of Aetna, which helps us enhance our national provider network and further improve savings across the country. ... This NCQA-accredited network includes over 5,900 hospitals, more than 124,000 ancillary locations and nearly 800,000 physicians and other health care professionals.

Did Aetna own slaves?

“Aetna has long acknowledged that for several years shortly after its founding in 1853 that the company may have insured the lives of slaves,” Aetna spokesman Fred Laberge said Thursday. ... Aetna said its records show the company wrote no more than a dozen such policies to slave owners.

How many customers does Aetna have?

An estimated 39 million people rely on Aetna, a CVS Health company, to help them make decisions about their health care and their health care spending. Every day, we work to make the system easier and more convenient for our customers. Our health insurance plans and services include: Medical, pharmacy and dental plans.

What is out-of-pocket maximum Aetna?

The out-of-pocket maximum is a limit on the amount you pay out of your pocket in a given year. ... When your eligible out-of-pocket expenses reach the maximum limit, your remaining eligible expenses are covered by the HMO plan at 100% for the remainder of the plan year.

How much does Aetna cover for ER visits?

Emergency Room Visit At Hospital $250 Copayment per visit (waived if admitted) Ambulance $100 Copayment per transport Urgent Care $75 Copayment per visit If the use of a Participating or Non-Participating Hospital Emergency Room is not due to an Emergency Medical Condition for a Condition covered by this Group Plan, ...

Does Aetna have copays?

Outpatient services Office& other outpatient services: $20 copay/visit, deductible applies Office & other outpatient services: 90% coinsurance None Inpatient services 20% coinsurance after $250 copay/stay 90% coinsurance after $290 copay/stay Penalty of $500 for failure to obtain pre- authorization for out-of-network ...

Does Aetna health insurance cover auto accident injuries?

The Aetna Accident Plan is offered and/or underwritten by Aetna Life Insurance Company (Aetna). Accidents are just that — accidents. You can't plan for them. ... The Aetna Accident Plan pays you cash benefits for services related to a covered event, such as a broken ankle.

How do I reimburse for Aetna?