Aetna

Healthcare payer profile

Aetna

Private Health Insurance Companies

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Official websiteaetna.com

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Payer details and reviews

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Reviews from patients and healthcare professionals

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Payer Accountability Report Card

Listed payer or program: Aetna brand (multiple affiliated insurance companies and plans) · Scope: United States; specific issuer and plan depend on coverage

Verified public metrics and source references; these measures are not interchangeable.
Measure Reported value Year and source
NY DFS complaints closed 488 NY DFS 2025 Consumer Guide — 2024 EPO/PPO Complaints, PDF p. 7 (printed p. 6) (2024) · New York EPO/PPO and commercial business; Aetna Life Insurance Company legal issuer only; not national brand-wide or Medicare/Medicaid
NY DFS complaints upheld 259 NY DFS 2025 Consumer Guide — 2024 EPO/PPO Complaints, PDF p. 7 (printed p. 6) (2024) · New York EPO/PPO and commercial business; Aetna Life Insurance Company legal issuer only; not national brand-wide or Medicare/Medicaid
NY DFS upheld complaints per $1M premiums 0.1050 NY DFS 2025 Consumer Guide — 2024 EPO/PPO Complaints, PDF p. 7 (printed p. 6) (2024) · New York EPO/PPO and commercial business; Aetna Life Insurance Company legal issuer only; not national brand-wide or Medicare/Medicaid
NY DFS reported premiums 2,467.4 NY DFS 2025 Consumer Guide — 2024 EPO/PPO Complaints, PDF p. 7 (printed p. 6) (2024) · New York EPO/PPO and commercial business; Aetna Life Insurance Company legal issuer only; not national brand-wide or Medicare/Medicaid
Regulator-confirmed complaints 83 NY DFS 2025 Consumer Guide — 2024 Prompt Pay Complaints, printed p. 11 (2024) · 2024 New York EPO/PPO and commercial business; Aetna Life Insurance Company legal issuer only; NY DFS upheld prompt-payment complaints (late claims processing), not overall complaints or claims-denial rate; excludes affiliates, Medicare and Medicaid

Official complaint, appeal and oversight resources

Measures may cover different plans, years and jurisdictions. External quality ratings, government complaint findings and anonymous Did They Pay? reviews describe different things. An absence of reported data does not mean zero complaints or zero denials.

Reviews and payment experiences

Reviews are submitted by patients and healthcare professionals. They are individual, self-reported experiences, not verified payer-performance statistics.

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