What are the ratings for Aetna?
Asked by: Gail Goyette | Last update: February 10, 2025Score: 4.3/5 (2 votes)
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).
What is the star rating of Aetna insurance?
Aetna® shines in Star Ratings with 88% of Medicare Advantage members in 4 out of 5-star plans or higher for 2025.
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.
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.
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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.
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.
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.
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.
Why are people leaving Medicare Advantage plans?
But there are trade-offs. Medicare Advantage plans often have a limited network of hospitals and physicians. And while the premiums are typically low, enrollees could end up paying more in the long run in copays and deductibles if they develop a serious illness.
What labs are covered by Aetna?
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 is the credit rating of Aetna insurance?
We affirmed our 'A-' long-term financial strength and issuer credit ratings on Aetna's operating subsidiaries. We also affirmed our 'BBB' long-term issuer credit ratings on Aetna Inc. Additionally, we revised Aetna's stand-alone credit profile (SACP) to 'a' from 'a+'.
Is Aetna a good plan?
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.
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 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.
Which health insurance company has the highest customer satisfaction?
Kaiser Permanente is the top health insurer in the nation for affordability, customer satisfaction, and trustworthiness, according to Insure.com. Insure.com uses industry data and consumer feedback to rate health insurance companies.
What is the denial rate for Aetna?
A review of 2023 data from the state's Insurance Department found the three companies deny claims at rates above the statewide average for both HMO and indemnity plans. Aetna had the highest denial rates for HMO plans, at 39.4%, followed closely by Harvard Pilgrim, at 38.8%, and Connecticare, at 33.6%.
Who is the most trusted insurance company?
- Best for customer satisfaction: Erie Insurance.
- Best for seniors: Nationwide.
- Best for liability insurance: Auto-Owners.
- Best for claims filing : State Farm.
- Best for bundling: American Family.
- Best for accident forgiveness: Progressive.
- Best for military members and veterans: USAA.