Aetna

I received both Shingle shots on the 19th of Dec - 2023 and the 19th of Feb - 2024. My medical provider was Aetna and both shots were in my coverage. A representative told me to submit a claim form and copies showing that both shots were paid for to them. I did this but Aetna is refusing to pay me back. They claim a check was sent to the provider (Baptist Health) but this was not the case, Three members of Aetna - Reference - Aire, Pharmacy - Neil & Member Services - Kim have confirmed that no check was sent. The reference # *********. A female from the main corp in Connecticut said the check was sent to the wrong address and a new one was mail. I have never received that check ($424.00)
I strongly suggest that you do not sign up with this provider and use someone else.

Atena healthcare is a low down sneak who don't like too pay they take your money they are one of the lowest dirty healthcare out here they cut me off a day before my baby was born. They don't like to pay they gives you problem when it's time for them too pay that hospital bill I rather get Medicaid and pay them before I will ever use Aetna again people please get another healthcare carry beside them they are dishonest greedy for money that company is own by the devi.

I am disabled and on Medicare because of disability, even though I'm "only 63". I have to purchase supplementals for doctors and hospitals. I have a Medicare Advisor who recommended Aetna for Plan F. All Plan F's apparently have to cover the same things if it supplements Medicare, so monthly supplement cost is the main consideration. Aetna was, last year, and IS this year the most cost-efficient for someone like me. In 2015, I had shoulder surgery and a 5-day hospital admission, products for sleep apnea, a bunch of specialist appointments, and more. All costs were covered by Medicare and Aetna. No supplementals are cheap! But Aetna is considered "good insurance" by my doctors.

They will deny every claim you make, you will end up paying more money than you could ever imagine! I had to file bankruptcy because of these idiots

Approx. 1 in 20 provider names returned from a database search is even remotely accurate. I've waste hours, many times, trying to find a provider. Although at first it appears there are many docs in my network who are located near me, rarely is the information correct. I spend hours calling only to find noone. Although, with approval, they allow you to see an out of network provider at the In Network rate, nearly every time the claim is processed, it is charged as out of network. The fact that it's noted on the provider's claim and on my account gets completely ignored.
Addresses are wrong, phone numbers are wrong, and even whether or not someone is even a provider. There are 2 reasons for this, as Aetna has explained to me: 1) Aetna farmed out the job of populating the database, so the data entry people had/have no concerns as to the accuracy of the data. And 2) It's the job of the provider to notify Aetna that the information is inaccurate or has changed. Although the website offers an option that allows you to let them know that the info. Is wrong, and provide them with current info., which I've taken the time to do a number of times, I've returned to the search many months later, only to find all of the same inaccurate/outdated information that I had notified them of long before. Another issue occurred after faxing them a claim form. When more than a month had passed, and my claim still didn't appear in their system, I called to inquire. As it turns out, only one of the 2 pages I had sent was received. They got the page with all of my account info. And contact info., however, according to the notes in their system, noone made an attempt to contact me to let me know they still needed the 2nd page. I'm grateful to have insurance, but for the money we spend for it, I would expect much better.