Is Aetna good health insurance?

Aetna provides a range of coverage options for older adults and those who meet income restrictions, but it only sells individual and family plans through employers.

Overall rating: 4.8

Aetna is among the most significant health insurance providers in the nation, selling policies in all 50 states and contracting with more than a million health care professionals. While it doesn’t sell individual or family plans, it has coverage options for university students, older adults, and those qualifying for Medicaid. Keep reading to learn more about this provider.

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Aetna Health Insurance Overview
Company founded 1853
Coverage area All 50 states
A.M. Best rating A+
BBB rating A+
NCQA accreditation Yes
NCQA rating 4.5 to 2.5
Plans available
  • Dental
  • Family health insurance
  • Individual health insurance
  • Medicare
  • Medicaid
  • Pharmacy
  • Vision
Provider network
  • About 1.2 million health care professionals
  • More than 700,000 primary care doctors and specialists
  • More than 5,700 hospitals nationwide

Is Aetna a Good Health Insurance Provider?

What we like about Aetna health insurance plans: The drawbacks of Aetna health insurance plans:
  • Consistently high customer service rankings
  • Options for older adults, university students, and those with low incomes
  • Plans are available nationwide
  • No individual or family plans available
  • Options for contacting customer service representatives are limited to phone and email

What Do Aetna Health Insurance Plans Cover?

Aetna offers a variety of health insurance plans that may meet your health needs and budget:

  • Dental
  • Family health insurance
  • Individual health insurance
  • Medicare
  • Medicaid
  • Pharmacy
  • Vision

Aetna Health Insurance Plan Options

Aetna only offers plans through employers, so you can’t purchase individual or family plans through the company or the federal marketplace. However, it does offer several other plan options to meet your needs.

Medicare 

Aetna offers a range of Medicare Advantage Plans for qualifying individuals, which are another way for older adults and those with qualifying disabilities to get Original Medicare benefits. Along with Part A and Part B coverage, MA plans, such as those sold by Aetna, also provide prescription drugs and vision and dental care coverage.

Aetna also sells three Medicare prescription drug plans. These plans can be added to your Original Medicare plan, or certain MA Plans to help you control out-of-pocket medication costs.

Medicaid 

Medicaid is free or affordable health insurance that’s jointly funded by the state and federal government. Each state has its own Medicaid program, so benefits and eligibility vary depending on where you live. Aetna manages plans nationwide for those aged 18 and under who qualify for the Children’s Health Insurance Plan (CHIP), Medicaid, and long-term care insurance.

Student plans 

Family health insurance plans don’t always provide coverage for university students, leaving uninsured individuals at risk of financial hardship if they experience a serious injury or illness. Aetna provides university-based health insurance through higher learning institutions all across the country, helping young adults find affordable coverage when their family’s health insurance coverage isn’t an option.

International plans 

If your health insurance plan requires the use of in-network providers, living abroad can feel like a gamble. Aetna provides award-winning health insurance plans for U.S. citizens living outside the country for a short time. Varying levels of coverage are available, including coverage for emergency medical evacuation and repatriation.

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How Is Aetna Rated?

Finding the right health insurance plan requires research. You’ll need to consider whether a company has the coverage you need at an affordable rate and additional factors, such as financial stability, other customers’ experiences with the claims process, and how far your money goes with one insurer compared to another. These can help you evaluate how easy the company is to work with when filing a claim.

Overall rating: 4.8
Financial strength rating: 5 Customer satisfaction rating: 4.8 Value rating: 4.8 Coverage rating: 4.8

Financial strength: 5/5 stars 

Enrolling in a plan from a company that lacks financial stability can make filing a routine claim a headache. Aetna’s financial strength is calculated based on A.M. Best’s rating that considers the soundness of financial decisions, continuous losses versus revenue, and the number of policyholders.

Customer satisfaction: 4.8/5 stars 

To measure Aetna’s overall customer satisfaction, we look at how happy existing customers are with their coverage and claims-filing experience by looking at three third-party agencies: the Better Business Bureau, National Committee for Quality Assurance, and Consumer Reports.

Aetna has an A+ rating on BBB. In the last three years, it closed 648 customer complaints, most of which were related to problems with not getting covered services paid for and billing or collections issues.

The NCQA gives ratings ranging from 2.5 to 4.0 for Aetna’s plans. Most plans rate as mid-performing across the three categories, including consumer satisfaction, prevention, and treatment.

Consumer Affairs gives Aetna 3.9 out of 5 stars based on 2,289 customer ratings.

Value: 4.8 stars 

Aetna’s value rating measures the affordability of its plans compared to other insurance companies. This rating considers Aetna’s monthly plan premiums, along with annual deductibles, annual out-of-pocket maximum limits, what you pay to see a doctor or specialist, and copays or coinsurance for obtaining emergency care. Considering an insurance company’s value rating can help you get the most for your money.

Coverage: 4.8 stars 

While low monthly premiums may be enough to entice thrifty customers to sign up for policies, they don’t save you money if the plan doesn’t include the coverage you need for routine or emergency care. Aetna’s coverage rating considers factors such as the number of health providers in the plan’s network, how many plan types are available, and the scope of coverage.

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Tammy Burns
Insurance and health care consultant

Tammy Burns is an experienced health insurance advisor. She is ACA-certified for health insurance and other ancillary, life, and annuity products.

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