Aetna — health Complaints in California
Detailed analysis of 87 health insurance complaints filed against Aetna by consumers in California, based on public NAIC and state DOI data.
Key Statistics
- health Complaints in California: 87
- Total health Complaints (All States): 4,381
- California Share: 2.0%
- NAIC Complaint Ratio: 1.25
- AI Risk Score: 85/100
Analysis: Aetna health in California
Aetna has accumulated 87 health insurance complaints from consumers in California. Across all states, Aetna has 4,381 total health complaints, making California responsible for 2.0% of the volume.
The most frequent complaint sub-type is Coverage gap with 19 complaints. Other common issues include Premium increase (17), Billing error (14), Claim denial (13).
The most active year was 2026 with 5 complaints filed.
Consumers in California who have health disputes with Aetna can file a complaint with the California Department of Insurance.
health Complaint Issues in California
| Issue Type | Complaints | % |
|---|---|---|
| Coverage gap | 19 | 21.8% |
| Premium increase | 17 | 19.5% |
| Billing error | 14 | 16.1% |
| Claim denial | 13 | 14.9% |
| Network dispute | 13 | 14.9% |
| Prior authorization | 11 | 12.6% |
Complaints by Year
- 2026: 5 complaints
- 2025: 29 complaints
- 2024: 13 complaints
- 2023: 17 complaints
- 2022: 15 complaints
- 2021: 8 complaints
Recent health Complaints Against Aetna in California
- health Complaint #IC-MOCQK4GU-MKCLIA (2026-04-03) — Coverage gap
- health Complaint #IC-MNQWA250-XCR1SL (2026-03-16) — Billing error
- health Complaint #IC-MNNOJDRE-7P0B2W (2026-02-12) — Claim denial
- health Complaint #IC-MOCQK4GT-JGCMF3 (2026-02-02) — Coverage gap
- health Complaint #IC-MOCQK4GS-0QLV30 (2026-01-22) — Premium increase
- health Complaint #IC-MNLW8K7E-BJHJTZ (2025-12-06) — Billing error
- health Complaint #IC-MOCQK4GT-2F8EWN (2025-11-27) — Network dispute
- health Complaint #IC-MNTR5Q5K-RN4U81 (2025-11-19) — Network dispute
- health Complaint #IC-MOCQK4GR-LKD0BH (2025-11-14) — Premium increase
- health Complaint #IC-MOCQK4GU-DCH99P (2025-11-08) — Premium increase
Frequently Asked Questions
How many health complaints does Aetna have in California?
Aetna has 87 health insurance complaints on file from consumers in California, according to NAIC and state DOI data.
What are the most common health complaint issues with Aetna in California?
The most common issues are: Coverage gap (19), Premium increase (17), Billing error (14), Claim denial (13), Network dispute (13).
How does Aetna's health record in California compare to other states?
Aetna has 87 health complaints in California out of 4381 total health complaints nationwide. That is 2.0% of their health volume.
Where can I file a health complaint against Aetna in California?
You can file a complaint with the California Department of Insurance. The NAIC Consumer Information Source at https://content.naic.org/cis_consumer.htm also accepts complaints.