Aetna Health 12+

User friendly App helps navigating your providers & bills

Nice App for searching Network providers and also easy access to check all the claims. Some providers details needs to be updated as after the Pandemic there are lot of changes occurred. The Payment system is 50% good & 50% bad , as it takes almost 30 days and more once you pay by Credit Card in the App however the providers doesn’t get the money immediately. It will be better if the App provides Payment details / links for providers and not AETNA Payment department which pays provider through a third party agent. I strongly disagree the payment mode as once we received a Letter from Provider stating that they had handed over to a third party to chase our payment whereas we had paid 2 months ago via our Credit Card. The issue was that we were not notified about the payment return back to our Credit Card after a month which is not our fault. This App is only good for searching Network providers.

Provider In-Network Info Doesn’t Match

I’m looking for a cardiologist and I’ve been using the app for a while. A few cardiologists are listed as 2 specialties—Cardiology and Cardiovascular Disease Physician. Those that are have an ! In their info that says they’re In Network but ‘certain providers may be out of network for certain specialities at this location: Cardiology’. How can that be? Functionally those two specialties are the same thing. All a Cardiologist does is Cardiology, how can he be listed as out of network for a location for the only thing he does there? The doctors office themselves says they take Aetna insurance all the time, but then what does that ! mean?

On the website it says nothing about out of network specialties for any provider and it even lets me use the price estimation tool for that location. Aetna needs to get their information correct one way or another, most people can’t waste time or money accidentally going to an appointment for a provider that’s actually out of network because the app and website have different info.

Calling is no help either, I’ve gotten 2 opposite answers from 2 different people, but the second person emailed me a provider list as proof showing the doctor I want to see as In Network as a Cardiovascular Disease Physician. Do I have to check every doctor I want to see 3 times now to average out the answer? I don’t even trust the Provider List I was given at this point.

Do not use Aetna App to make a payment

Aetna failed to process my payment to provider twice. I placed payment for two of my claims using this Aetna mobile app. They both failed. I’ve got past due notice from the provider after I made payment. I called them to explain that I made payment via Aetna mobile app already and had a receipt. Then, a few days later, I’ve got refund for this payment, it was almost month later since I made a payment. I called the provider and apologized this late payment which was not my fault and sent a check them immediately. Now, another claim, I paid for the claim on Mar 19, 2019. Today, on May 14, I’ve got past due notice from the provider. So far, I didn’t see refund logged for the claim on the Aetna mobile app, so I thought my payment was processed and sent to the provider successfully. I called Aetna, I was on hold for a few minutes, and this is what they said: They, Aetna, sent my payment to the provider on May 25, 2019, 6 days after I made a payment via Aetna mobile app. However, the provider never cash it, hence my payment was automatically refunded. Then, why the refund wasn’t shown app soon? And, why payment process didn’t work? Why the provider never cash my payment, is it their fault or Aetna’s fault? My conclusion: I will never use Aetna mobile app to make my payment to provider. I will use my HSA account, the provider’s online payment system, or send a check!

Developer Response ,

Hello, cirs. Thanks for your post. We care about your Aetna Health app experience. I work on Aetna’s support team. If you’ll email our support mailbox, I’ll be happy to help you. That shouldn't be happening and we can help you with this issue. Our email address is [email protected]. Thanks! Rick G..