We have both Aetna Healthcare and Aetna Supplemental insurance. Problem is, they claim that if you click on the Yes box that you have the health insurance, there is no need to upload any documents. WRONG! In fact, there won’t even post for stuff unless you can get them the long-awaited UBO4 detailed hospital bill. For some strange reason they pay the bill but want you to provide it to them for detailed charges. The crazy thing is, we also have Aflac and get paid within 7 days. I’m still waiting on payment for something since October (3 months ago) to be paid.Anyway, my suggestion to you is to study the policy coverages and create a checklist of what you expect they will pay. They will almost always not pay for something hoping you don’t catch it. I’ve sent a good 20 messages to them pointing out stuff and earned $10,500 more for something they claimed to have missed. Ultimately, once you get paid for everything, it’s worth it.

I like how easy it is to submit a claim straight from your phone. Once submitted though, we are completely in the dark with no details on the status updates especially when we appeal on a claim that needs to be reworked and the status remains as “Completed “ when it should show that it’s being reprocessed

Daughter had a 4 night stay in an in-network facility. Have paid for this plan for few years, was only paid $100. This extra insurance coverage is a JOKE. I do not recommend anyone purchasing as it will not pay out for time spent in hospital. They claimed the stay was for observation, but it was for pain management. Had CT Scans, blood work, etc. they claimed was for observation and would only pay out $100. If this is the case, all hospital stays could be claimed as “OBSERVATION”. Just don’t recommend this insurance unless they make good on their claims to help with expenses incurred for a four night stay in a hospital. This site does not help and neither do the people you have to speak with at AETNA that have trouble speaking English clear enough for people to understand. I’m starting to see why this insurance isn’t accepted everywhere. Also have trouble finding in network providers (who are reputable) in my area. If AETNA correct the claim and compensates based off of a 4 night in hospital stay, I will revise this review to reflect their correction.

It is beyond frustrating to have a health insurance app w such poor service. Once you submit a claim, if you have additional information, there is no option to add those docs on the app. The pending claim when clicked is just blank page. But you can to completed claims which doesn’t matter or make sense.In addition, they take forever to process claims. Aflac used to process my claims in 3 days on average. My favorite “feature” about Aetna is the fact that when you call in to find out what’s going on with your claim, there may be missing documents that they need but they don’t tell you that. So your claim ends up staying in “processing or pending” status until you decide to follow up because it’s been a month since you submitted your claim.