Aetna offers many health insurance, dental and vision policies; however, the company currently does not sell individual policies on health marketplaces. If you are looking for individual health insurance, then we recommend looking for a different health insurance provider.
Aetna offers a suite of products and member benefits, including an online portal and health- tracking apps that allow policyholders to better manage their health. When compared to competitors, Aetna has above-average financial ratings and fewer-than-average customer complaints.
Aetna insurance plans and options
While Aetna has Medicare, dental and vision insurance policies, it does not offer an individual health insurance plan to consumers. This began in 2018, when the company removed all of its health insurance policies from state marketplaces. Furthermore, unlike some other health providers, Aetna does not have a short-term health insurance option. If you need one of these plans, we suggest looking for a different health insurance company.
Employer health insurance
Employer health insurance is a health plan offered through your job. Business owners can purchase Aetna's employer plans and provide them to employees. Aetna lets business owners choose what to include in their policies, which may include medical, dental, health, disability and life coverages. Read through your options carefully to confirm what will and will not be covered by your plan.
Medicare Advantage and Supplement
Aetna offers Medicare Advantage and Supplement policies to people currently enrolled in Medicare parts A and B and will cover gaps in your original Medicare plan.
Aetna Medicare Advantage plans come in three different types: PPO, HMO and HMO-POS. Below is an overview of what each type of Advantage policy offers. Overall, Aetna has some of the best cheap Medicare Advantage coverage on the market.
Provider network requirements | None, out-of-network will cost more | Yes, must use in-network unless an emergency | None, out-of-network will cost more |
PCP required? | No | Yes | Sometimes |
Required referrals for specialists? | No | Yes | Sometimes |
Monthly premiums | $0 – $214 | $0 – $178 | $0 – $33 |
Deductible | $0 – $1,800 | $0 – $1,180 | $0 – $500 |
Dental, vision and hearing coverage? | Yes | Yes | Yes |
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As mentioned above, Aetna also has a variety of Medicare Supplement plans you can purchase. However, if you buy Medicare Advantage, then you cannot also purchase a Medicare Supplement plan. Below, we have provided a breakdown of the supplement plans offered through Aetna.
Medicare Part A coinsurance | 100% | 100% | 100% | 100% | 100% | 100% | 100% |
Medicare Part B coinsurance | 100% | 100% | 100% | 100% | 100% | 100% | 100% |
Blood (3 pints) | 100% | 100% | 100% | 100% | 100% | 100% | 100% |
Part A hospice care coinsurance | 100% | 100% | 100% | 100% | 100% | 100% | 100% |
Skilled nursing facility coinsurance |
|
| 100% | 100% | 100% | 100% | 100% |
Medicare Part A deductible |
| 100% | 100% | 100% | 100% | 100% | 100% |
Medicare Part B deductible |
|
| 100% |
| 100% |
|
|
Medicare Part B excess charges |
|
|
|
| 100% | 100% |
> |
Foreign travel emergency |
|
| 80% | 80% | 80% | 80% | 80% |
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Dental and vision insurance
Stand-alone dental insurance is available through Aetna Dental Direct. Dental insurance covers all preventive services such as dental exams, X-rays and flouride treatments, so there will be no additional out-of-pocket costs for these services.
Below are two examples of commonly offered Aetna policies that you can purchase. However, dental coverage isn't available in every state. For example, residents of Connecticut and New York can't access these plans. If this is the case in your state, we recommend looking for a different health insurer.
In other states, residents have additional purchasing options. Each plan typically has a different monthly premium, deductible and coinsurance levels.
Deductible | $50 individual/$150 family | $50 individual/$150 family |
Coinsurance |
-
Preventive: No cost
-
Basic: 20%
-
Major: 50%
|
-
Preventive: No cost
-
Basic: 50%
-
Major: 50%
|
Premium | Depends on insured age and number of dependents | Depends on insured age and number of dependents |
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Aetna also supplies vision insurance policies. However, these plans are only offered in conjunction with employer health insurance and thus cannot be purchased on a stand-alone basis.
Member resources and benefits
Aetna member resources and benefits are above-average when compared with other providers. Health, dental and vision insurance policyholders can access and monitor their policies through Aetna's online portal. Additionally, customers have the ability to find doctors, medicine and any health forms directly through the Aetna website.
Attain by Aetna
Attain by Aetna is the app policyholders can use to monitor their insurance plans. Furthermore, Aetna has paired up with Apple to provide an integrated experience in which members can utilize the app on their Apple Watch devices to track their health in real time. Here, policyholders can also track fitness goals and receive rewards for participating in healthy activities.
Reviews and complaints
Customer reviews for Aetna are slightly above-average, as many customers say the website and app are user-friendly. Customer satisfaction can also be seen in J.D. Power's Medicare Customer Satisfaction Survey, which ranks Aetna fourth with a score of 801. Furthermore, the company's Complaint Index with the National Association of Insurance Commissioners (NAIC) is just 0.29. That means the company has received significantly fewer complaints compared to other companies of its size.
Financially, Aetna ranks among the strongest health insurance providers. The company has received an A.M. Best Financial Strength Rating of A (excellent). This means the company is financially strong and has the ability to pay out claims in the future.
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