What is the star rating of Aetna insurance?
Asked by: Carmelo Kutch | Last update: April 7, 2025Score: 4.4/5 (23 votes)
Where does Aetna 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.
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.
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+'.
Explaining Medicare & the Medicare Star Ratings Program
Is Aetna a 5 star plan?
“Although there are no companies that offer 5-star Medicare Advantage plans in California in 2025, you can find 4.5-star plans from Aetna, Alignment Health Plan, Kaiser Permanente and SCAN Health Plan.
What is the highest rating an insurance company can have?
- Superior: Rating: A+, Notches: A++
- Excellent: Rating: A, Notches: A-
- Good: Rating: B+, Notches: B++
- Fair: Rating: B, Notches: B-
- Marginal: Rating: C+, Notches: C++
- Weak: Rating: C, Notches: C-
- Poor: Rating: D.
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.
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.
How good is Aetna insurance for seniors?
Aetna® shines in Star Ratings with 88% of Medicare Advantage members in 4 out of 5-star plans or higher for 2025. Aetna Medicare is an HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs.
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.
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.
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.
Is Aetna insurance 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.
Is Aetna a popular insurance company?
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.
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 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.
How long does it take Aetna to pay a claim?
If we approve your request, it can take up to 30 days to send payment once we have all the required information.
What companies are AAA rated?
Standard & Poor's and Fitch assign bond credit ratings of AAA, AA, A, BBB, BB, B, CCC, CC, C, D. Currently there are only two companies in the United States with an AAA credit rating: Microsoft and Johnson & Johnson.
How do I know if an insurance company is good?
On top of using your state's insurance department's website, you can also check complaints and overall satisfaction with the National Association of Insurance Commissioners (NAIC) or JD Power and Associates. These sites will also help you check a company's claims payments history and other financial information.
What is the biggest insurance company to fail?
Executive Life Insurance Company is regarded to be the biggest bankruptcy of an insurance company in the United States in the course of recent years. Based in California, the life company had to file for bankruptcy in 1991 following disastrous investments in junk bonds.