Aetna

I have heart problems. On Tuesday my Dr. Setup an appointment for hospital for Friday. On Thursday I got a call from hospital saying Aetna sent it for a approval was told it takes 48 to 72 hours for approval.

Here it is Saturday and Aetna telling me they don't have no authorization for me.

I contact home office few weeks told would be contact to help me, nothing 13 years battle Vulvar Cancer many surgeries etc. kept under control Dysplasia, situ - Stage I. JANUARY 10 2022 RKFD IL GYN ON PLUS 2 LATER 2022 BIOPSIES UW MADISON "ALL DIFF PLACES CAME BACK MALIGNANT NEOPLASM OF VULVA STAGE III" ONCOLOGIST YEARS DID NOT TELL ME!

MAY SYMPTOMS SPECIALISTS, CLINICS ER FOUND OUT 2022 BIOPSIES AND SHOULD AE BEEN TREATED PAST 2 YEARS TOO LATE IN BLOOD TOO. YOU TOOK COM PLAINT SAID HELP - PHONE CALLS NONE EXCRUCIATING PAIN AND NO ONE HELP ME END STAGE NO HELP SUFFERING ALONE.

I NEED URGENT ALL TUES 26TH THIS SHOULD BE UTMOST PRIORITY! AM BEING REFUSED ALL AND ONCOLOGIST KILLED ME! URGENT HELP NEEDED JAN SULLIVAN 612-500-6209 AETNA ADVANTAGE. HELP!!!

Tried to get a verification of coverage so I can apply for Medicare Part B without a penalty. My Aetna plan has been inactive for over two years, so my information is archived. It is impossible to get the verification in a timely manner; customer service is poor, and the phone reps won’t refer the customer to a supervisor.

I am writing to express my disappointment and frustration with the recent experience I had with Aetna's customer service. As a long-standing and loyal customer, I have always appreciated the level of service provided by Aetna, but unfortunately, my recent encounter has left me quite dissatisfied.

On July 17, 2023, I called Aetna to request a vacation override as I was departing for my vacation on July 25, 2023. After spending approximately 1.5 hours on the phone, my request was finally submitted. I had hoped that everything would be taken care of before my departure, but unfortunately, this was not the case.

On July 25, 2023, I realized that I had not received my essential medication. When I called Aetna to inquire about the status, I was informed that there had been a system error and…

I have called Aetna at 888-802-3862 MANY times to ask a simple question that I have got several different answers to and nothing they said happened. My question was and is HOW OFTEN IS THE EXPLAINATION OF BENEFITS UPDATED. I had several claims that came through from July 6th 2023 and all of them have posted and the deductible used on the portal summary page is updated and right but the Explanation of Benefits DEDUCTIBLE USED HAS NOT BEEN UPDATED.

PLEASE ANSWER THIS QUESTION BELOW. 03 ON THE EXPLAINATION OF BENEFITS PAGE. I NEED THIS UPDATED ASAP. I HAVE ATTACHED A COPY EXPLAINING AND SHOWING THAT IT HAS NOT BEEN UPDATED. I NEED THIS UPDATED ASAP. 25- THIS IS WHAT HAS NOT BEEN ADDED TO MY DEDUCTIBLE USED ON MY EOB. 03.

03 PLEASE UPDATE MY EOB DEDUCTIBLE USED OR GIVE ME A MANAGERS NUMBER…

Re: Aetna's NYC Retiree's Medicare Advantage Plan. I have been a retired New York City employee since 1995, after 34 active years. I am now a new widower residing in Fredericksburg, VA. I am gratified to see that the NYC Retiree's Medicare Advantage Plan will soon become a reality administered by your organization.

I do not have an application on file at your health agency because NYC retirees are being automatically enrolled with Aetna (as I understand). I have a security problem that involves my displayed name. ] included), WHENEVER WRITTEN.... I am aware of your busy schedule and the demands of your office.

But I desperately need your help! I need to know that ALL your written statements pertaining to me won't be ignored and/or disregarded simply because someone "may not see that it…

I have Medicare and Aetna since 2021. Twice I have been told that I was no longer on Aetna when I was still a member. I filed two complaints since January 2023, I have been assigned two different complaint specialists who will not return my phone calls.

Aetna appears to ignore all complaints.

I recently through Medicare was offered Medicare Aetna . I have not been able to reach Aetna to answer my questions , and had not been given the correct ID card with the changes requested with the PCP correction , and the phone been answered by off shore answering service , which they are not knowledgeable in my needs , when request a US representative , been transferred to CVS ,don’t need a pharmacy staff .

I do not have a computer or cell phone I have been calling Customer Service e mailing and call 1-877-204 -1817 to get a OTC 2023 catalog for the last 6wks Can you tell me which hoop I am not jumping though What do I have to do to get the catalog In would be nice if I could get it before the end of the quarter

I do not have a computer or cell phone I have not received a 2023 OTC catalog I have called 1-877-204+1817 3times and I have called Customer Service I am told they will send me one Half of this quarter is over I have 6 wks until this quarter is over andI can’t order until I get a catalog I not sure what I am doing wrong I just order another a catalog from Customer Services and sent 2 emails and will wait 2more wks to see if they will send me one What do I need to do to get a catalog I am sure I am doing something wrong I need you to tell how to get a catalog I am sorry for the trouble I am causing you

This is by far the most HORRIBLE customer service I have ever received.

I have spent the past 2 weeks trying to find out why my plan isn't active. You can't get through to a supervisor. You get a different answer from every agent you speak to. My insurance is still not active despite the marketplace and my agent showing it is. I'm appalled. Just today I've been on hold for over an hour waiting for a supervisor.

I desperately need back surgery and Aetna has denied it 3 times. They just go by their 'checkbox' method and say I need 6 weeks of PT because it's been over a year since my last PT (which did not help).

I've tried as many options as possible to help myself physically before I get a 2nd opinion from an orthopedic surgeon. He looked at my X-ray and MRI and told me the only way to get rid of my awful pain is with surgery.

My chiropractor said the same. We've had 2 peer to peer sessions between my surgeon and Aetna telling them that PT won't do anything. I have a super thin fracture on my 5th vertebrae that cause a herniated / sequestrated disc.

I need it taken out and replaced with a titanium 'spacer' for a more simple explanation. I've had 4 surgeries scheduled that have all been…

I have spent many hours over the past 4 weeks trying to get my benefit of 6o$ per quarter for heathy food put on my extra benefit account I am unable to solve this problem using the resources of Aetna customer service or nations benefits customer service I would greatly appreciate assistance or advise to resolve this inter department communication problem so that I can have assess to use my benefit Thank you, in advance Judy Ozeryansky ID 101619395100

Our office works in collecting records for attorneys all over the country, through subpoena and authorization work, WITHOUT A HITCH.

However, getting in contact with the HIPAA Fulfillment team is a NIGHTMARE. No matter what time we call, they are never available, you cannot leave a voicemail, and emails never get responded to unless they are telling you they haven't received the actual request when you check in for a status, BUT

you've sent the request to the same email address that responds to you. Even today, I called the CORPORATE OFFICE, and had someone there call the number, who came back to inform me that nobody answered, and all it says is to "email them for updates" and hangs up.

All other options on the phone line for the HIPPA Fulfillment team tell you to call other people.…

denied coverage that was approved one year ago for a inhaler during a time of need...

I have requested over the counter catalogue for 2023. Have not received it. Are you waiting for quarterly benefits to expire so I lose my $240 OTC benefit? I prefer to phone my order in, not go to specified drug store or order on line.

Aetna customer service personnel aren't listening. I've requested this catalogue 3-4 times. You need to clean house. I'm thinking of changing to another Medicare carrier, one that has better customer service. Is that what you want????

I've spoken to 3 different reps that are completely useless!!!! One idiot told me he just woke up and and apologized for the damn roosters in the background while the other two morons where also working from home w/ limited skillset to help assist me with 1 claim.

I've submitted the predetermination 4 times now, twice electronically, 1 by mail and 1 by fax. Every time I check online or call them they said they have no claim on file... LIKE WTF! Do better Aetna, stop outsourcing your work to other countries that 1) don't speak english 2) don't have enough experience in the field 3) stop wasting my time and everyone else and

lastly knows how to take a call and follow through with what they're suppose to do- you proving me with a bullshit reference # does noting because the next rep doesn't…

This is Case # 51169797 On November 10, 2022 I had my 6 month dental visit. My dentist accepts Aetna and that is why I chose them. The dental office always faxes my reimbursement form right to Aetna. It usually takes about a month to get a check.

It took longer so I called customer service number on my card. 00 had been sent to me and I was not to cash it. 00. Someone had paid me the full amount for dentist . I got the check made out to me and tore it up.

I was told my right amount would reprocessed immediately and sent out. Well I don't have it yet. Now two months since my dental appointment. This call was rather quick and I was told my check had been mailed and I should get that week or the next week which was last week.

I waited the full two weeks hoping to get my check. So yesterday…

I'm Ludmila Dorfman and I have Aetna PPO dental. I got dental work from out of net work provider which is Dr. Burdo. His office is Da Vinchi. ,Philadelphia, PA 19116,Phone # is 215-6772022. Date of service is October 28,2022.

I'm writing to express my concern regarding an issue I've been facing with several claims for a dental procedures. Despite that your record show that the payments has been sent to the doctor's office ,the doctor's office has informed me that they have not yet received it.

I would like tp bring this to your attention and request your assistance in resolving this issue. I look forward to your prompt response and a satisfactory resolution on this issue.

I am new to Aetna starting today. 00 worth of meat. WTF? Man behind me has United & it covered all of his groceries! 31 seconds no one answering the phone. I tried to call them yesterday & sat on phone for almost an hour.

I am already regretting changing over to them. United is looking a lot better right now!!!

REWARDS Program does not let me enter my last name as it has 3 spaces, and your programs are outdated. My account profile has me listed as male and won't let me change it. The last Home Visit put down information that was totally incorrect - totally pulling information out of thin air.

There is no way to reply except a phone number that no one answers and a message board to which no one responds. A total waste of time. I had a yearly physical in 2020 and one scheduled for 2023 but no way to list this.

If I can't talk to a human, I don't want to be bothered. I have many more complaints about Aetna and will address in next complaint.

Simply put - PROMISES MADE AND NOT KEPT I'm 80 years old, enrolled in Aetna MMAI and the very worst thing about the service, is getting reimbursed for gas claims through MTM. I have a case six months old, that I've been trying to resolve - they said I put June 8 instead of June 9 on my initial report-I sent proof of visit to the doctor on June 9 the doctors office sent Aetna/MTM letter head stating I was in their office June 9 - I phoned MTM and

AETNA every 2 weeks until now in Dec - trying to get this resolved. I am elderly and have been very ill due to an accident and I have only me to rely in getting the paper-work completed. Aetna promised reimbursement for gas, which allowed me to make doctor appointments I could not do because of lack of insurance.

I was excited and started making…

Rude call representative who couldn't answer my question and kept repeating the same line the claim has been denied without any explanation. I only wanted to understand why it was denied and only answer we because it wasn't allowed in my policy. That's not an answer.

How can I file a repeal if I don't know why it's denied other than the blanket not deemed medically necessary. Teach them to say I don't know the answer and at least point in the right direction.

I'm been denied urgent need of back surgery. My dr's have appeared upto 2 level appeal and still Aetna not approving. My Dr stated in his appeal that the 6 week PT was not going to FIX me. I'm on a short term disability from work due to my condition.

No one at Aetna cares about my pain and suffering. I have filed a complaint with Insurance commission.

I am so very disappointed in Aetna's customer service. I cannot ever speak to someone on shore, I ask and they refuse to transfer me. I have claims that are not paid. One is over a year old and when I send messages through Availity they never respond to me.

I have talked to resolution specialists and nothing accomplished. I also have claims that said PAID and no payment. Asked for another payment to be re-issued. Called several times and several reference# given and my last call customer service said that they cannot help me and to just appeal for our payment.

Absolutely the worst I have dealt with. I dread calling them EVER!!

Hello, We have been trying to get our claims resolved and a long overdo payment sent to us. Every time our office sends our bills to Aetna they are rejected, and not at a fault of our own. We have numerous calls into Aetna and all representatives have said it is Aetna's error with the PBG # on their end is being put incorrectly into Aetna's system.

They keep saying they will reprocess all of the claims urgently for payment but I have to keep calling and they just keep saying give them more time. They say they will call to keep us updated but do not ever call.

Our Aetna patients are very upset when they see their bills for visits are not being paid to our office. This error on Aetna's part has to be resolved and payment needs to be urgently sent to us for services rendered.

Every call…

I have spoke with 2 representatives and they both provided me with terrible customer service. The first representative was not knowledgeable on how to assist me at all. The second rep I requested a supervisor and she just placed me back into an extremely long queue which is not what I asked for.

aetna has by far the worst customer service reps. (probably bc they are not from the US and cannot understand our needs)

My cobra payment hasn’t been recognized in Aetna system and they won’t verify my insurance is in force and pay for my drugs. Which I am out of I have been trying to resolve this for a week.

fraud and negligent by costumer services rep. : a fraud committed by Southern Nevada General Dentistry prada pllc in conjunction with Absolute Dental located at 860 S Rancho dr, Las Vegas, NV 89102. At 08/02/22 I went to "Absolute Dental" , on recommendation by Aetna costumer service , for consultation and estimated cost of tooth extractions and a lower denture /temporary and after 6 months regular/. 00 . 00.

00 , we decide / myself and a representative/ try to find a better price for a extraction and if not , at 08/11/22 we made appointment for lab work. At…

I’ve tried to access my information for the past few weeks on the internet and everything I need when clicked on claims they are having issues so I can’t see half of my documents I need. I have five or six claims that keep getting denied and I have on mycharts where it says my coverage was still good for that month… also directly off of their website the last day of that month for one claim it says it got approved.

Why would that get approved but all my others get denies for being “no longer under coverage”. When calling in to talk to a person. The First Lady was nice and respectful when I told her what I was calling about and she transferred me.

Apparently transferred me to the wrong person. She didn’t know what I was asking kept asking to just out me on hold for “just two more minutes”…

I spoke with a live rep, the first live rep transfer me and the second live rep put me on hold for 45 minutes without providing me the information that I needed as if she doesn't care if I am waiting. She put me on mute, not on hold.

And after 45 minutes, I told her that she put me on mute instead of soft hold. I knew that she hear it so she transfer me back to the queue without informing me that she is doing that. I'm not sure she if is sleeping but I am pretty sure that she is RUDE. Date: 06/10/2022 Rep. Name: May F. Ref #: AVA153927144423

To: Northwell Health CC. Aetna CC. PayFlex

From: Steven Gilliam 111 Valentine Lane #1B Yonkers, NY 10705

Good Morning: On Sunday February 13th, I attempted to pay a bill notice online for $22.16 invoice number 97540246. After clicking the icon for $22.16 I noticed that the system took out $792.32. I called Citi Bank to dispute the deduction of funds and was told to Call Northwell Health to notify them of the error so they could stop payment and resolve the problem. On Monday morning I called the Financial assistance line (800) 995-5727, who then transferred me to the online services group (844) 364-8108, who transferred me to the billing department where I was connected to a young lady named Ashley from (914) 308-3698, who had no idea how to resolve my issue. She said there was nothing…

customer service at aetna was called at 1-855-559-6434. The person that I talked to could barely speak english and did not help

I spent 3 hours,mostly on hold, with 3 different CS people. While they are very polite they know nothing and have the irritating habit of repeating everything you told them 3 times. My complaint is I have a 94 year old mother in assisted living in NJ and the facility has a NP that is in every Wed.

She saw my Mom for a minor complaint on 12/19 and when I got the service she works for (a company that only does "house calls" ) I was billed a $50 co-pay. When I asked the billing company they said Aetna has decided they are a specialist and therefore the $50 co-pay.

So my question to the CS person was does that seem crazy and does Aetna really want me to take my Mom, during COVID times, out of a safe and secure facility to a doctors office filled with sick people in stead of paying for this…

This is about the Aetna Senior Products. To them, the seniors are the easiest to take advantage of and confuse. Perhaps it is because I am old and have held many different jobs that I find Aetna less than competent.

They do not understand the basics of simple bookkeeping, let alone how to properly record requests (other than claims). As for claims, I only had doctor office visits and those were paid. I called in to cancel my supplemental policy. My mistake.

I should have waited until the end of the month but had just gotten new insurance (due to relocation out of their coverage area). I wanted to notify them to not take the next month’s premium. Since I called mid-month, they cancelled immediately even though I said end of the month.

The rep took the information and put in the EOM date…

i was owed 168.00 for a medication due to having a pa pop up. I called to check status an I am a very disabilted person I HAVE NEVER BEEN TALKED TO IN THAT MANNER RECIEVED MY CHECK WHICH WAS SUPPOSED TO HAVE BEEN 168.00 AN ITS FOR 21.66 AN THEY HAVE GOT THE RECIEPT AN DID EVERYTHING RIGHT BUT OMG IM STILL UPSET THE WAY I WAS TALKED TOO

Worst health insurance dedicated to deny treatments to patients and not paying providers. all of these corporations and pharmaceutical companies have bribed the Senate to get a total free pass in destroying health care and making the poorest citizens believe they have health insurance but they don’t.

WE MUST get together to force the Extremely wealthy senators the same insurance as the citizens: AETNA, HUMANA, OPTUM, UNITED BEHAVIORAL HEALTH,. Let these criminals have a taste of their own medicine : the death panels that is the function of these criminal “health insurances” How come the Traitors against the citizens in Congress are granted Blue Cross Blue Shields for life once they get to Congress?

They should have the same death panels the citizens face, not BC/BS. Ask the citizens who…

My Dentist preformed surgery in November, the cost was $1,300+, I am since waiting for my reimbursement. I have been told how busy or they are short staffed and honestly I don't care to hear that as I am on a fixed income, what excuse is next? how about I switch from Atena?

My Review online

Aetna....Worst insurance in USA!: So confuse, all refers are denied. Very difficult to call offices. all telephone numbers are mixing up, mixing web page up too. Not way to know what telephone number to call for verifying my insurance ID. I get from CVS the over the counter stuff that neither the CVS workers want to buy, vitamins with bad ingredients for your health, stuff with incomplete sizes, stuff in the CVS catalog that is denied at the desk. In Aetna every thing is terrible. If you get Aetna with Chen Clinic as your health provider you are going to be in hell (el infierno) both are an evil combination, Chen doctors are fine, they do their best and cure you, but the administrative process from Chen Clinic headquarter are going to make you sick back again too . I will…

I feel Customer Service is not what it should be. I don't feel they are unprofessionals who don't listen, ask for information that is not valid to your question, keep you on hold too long and on the phone when they should get someone to help, don't know the answer to a question and

give you an answer that isn't acceptable. An example is go have the test done and you will find out what your cost is--Question was is the Insurance Company going to cover the cost--Found out that my Doctor had to submit an authorization after several phone calls with nobody knowing this

WE ARE AN ACUTE INPATIENT INTENSIVE REHABILITATION HOSPITAL FACILITY (IRF). which is NOT considered a Skilled Nursing Facility (SNF). we have made several attempts to contact AETNA on a denied claim which AETNA processed as a Skill Nursing Facility claim due to "AETNA MAIN FRAME WAS NOT UPDATED", per AETNA representative.

and it has been over 90 days and the issue is still not resolved. We have sent emails to AETNA Provider Relations on several occasion, without any responses. We feel AETNA is just causing a stall tactic in order for claim to stale over the date of service, for which would be in JAN/FEB 2020.

We have filed a complaint with Medicare now, and will file a complaint with the State of Colorado Insurance Commissioner also if not resolved soon.

I have Aetna, Medicare PPO Member I.D. MEBSKFGD

A the end of August I went in to the Family Heath clinic knowing I had to pay $123.00 outta pocket and get reimbursed for the mouth X-rays I desperately needed. I have a badly infected tooth as we discovered I intend to get extractid. I saved up on my limited budget to get the X-rays thinking you would reimburse me and with that money get the tooth pulled. I sent you the recipets showing I paid the $123.00. I waited and finally called you to find out where my reimbursement was. I was told you needed more information being CPT codes. I got those and sent them to you. Followed up with you a couple weeks later to see when I'd get a check. Was lied to being told a check was being mailed to me within 7 to 10 days. Waited 14 days called again was…

I have tried your Provider Relations phone#888-632-3862 to speak with live person to inquire on our Providers but have not been able to speak to someone. Could you please let me know what is needed to actually speak to a representative. Thank you, Dixie Schuster

00 and have received different excuses ! This has been going on since October 30, 20018 ! They keep telling me that they have straightened out the situation and the check should be here by the end of the week which has been one huge lie after another ! Customer service stinks !

They can't even get their stories straight and I am so angry right now ! Where is my money ?????? What is going on with this company ? If this is straightened out soon, I will not certainly not renew with Aetna again and I will be sure to tell others of my problems with this company !!!!!!

I work for a company where Aetna handles the FMLA and Short term disability. I cannot believe all the restraints that are set into motion when you call for the short-term disability. I don't understand why the company continues to badger the doctor after the doctor states a time frame for your issue.

Are the representatives license medical practitioner's? I asked for an audit of my account and have not heard a word since the request was made.

Also per our plan, we receive "earned time" back but that has not been applied to my account. I wish Aetna would do what they say, which is to help people not get people fired and upset them to the point they have a heart attack and die.

Just in case you are wondering about the heart attack statement it is true. My co-worker had heart surgery and…

I have Multiple Sclerosis. I need specialty medicine. I'm on the co-pay assistance program. Since the medicine is so expensive. Aetna refuses to accept the co-pay assistance payments. Since they wont accept I cannot get my refill. 00 every three months.

The co-pay assistance wants to pay this for me and their refusing to accept. If I cant get my medicine I can end up in a wheel chair. This is a emergency. I really need help getting me meds.

I need my coupon book in order to pay my premium!!! I've been calling about this since December 27. Five calls from me & I still cannot have the coupon book sent to me. PLEASE, PLEASE help me.

Aetna has reduced our Aetna Worker's Compensation Access, LLC Program to a reimbursement of 0% . I have requested in writing a copy of our contract over 6 weeks ago, however Aetna will not provide the contract and, on weekly follow up phone calls, tells me to call back in one week.

Each representative I speak with insists there is no supervisor that I can speak with, no email, and no way to contact anyone at Aetna regarding my request. In the meantime, as a provider, we are not being reimbursed by any payor that accesses the Aetna fee schedule.

What can be done regarding this refusal to pay?

I just heard Aetna pulled out of the Obamacare marketplace. Now some of my family in Oklahoma only has one insurance option left and it's prices are going up 20% this year. This is not really a complaint about Aetna as much as the Affordable Care Act.

Look at what it is doing to our country!

I have been calling for over 6 hours and have still been unable to reach someone to help me. Shame on Aetna customer service. They were not prepared for the new arrivals in 2016. They should have been ready, I have a child with a disability and I and mortified by them.