Aetna — health Complaints in North Carolina
Detailed analysis of 91 health insurance complaints filed against Aetna by consumers in North Carolina, based on public NAIC and state DOI data.
Key Statistics
- health Complaints in North Carolina: 91
- Total health Complaints (All States): 4,381
- North Carolina Share: 2.1%
- NAIC Complaint Ratio: 1.25
- AI Risk Score: 85/100
Analysis: Aetna health in North Carolina
Aetna has accumulated 91 health insurance complaints from consumers in North Carolina. Across all states, Aetna has 4,381 total health complaints, making North Carolina responsible for 2.1% of the volume.
The most frequent complaint sub-type is Network dispute with 19 complaints. Other common issues include Prior authorization (18), Billing error (16), Premium increase (15).
The most active year was 2026 with 8 complaints filed.
Consumers in North Carolina who have health disputes with Aetna can file a complaint with the North Carolina Department of Insurance.
health Complaint Issues in North Carolina
| Issue Type | Complaints | % |
|---|---|---|
| Network dispute | 19 | 20.9% |
| Prior authorization | 18 | 19.8% |
| Billing error | 16 | 17.6% |
| Premium increase | 15 | 16.5% |
| Coverage gap | 13 | 14.3% |
| Claim denial | 10 | 11.0% |
Complaints by Year
- 2026: 8 complaints
- 2025: 29 complaints
- 2024: 24 complaints
- 2023: 13 complaints
- 2022: 12 complaints
- 2021: 5 complaints
Recent health Complaints Against Aetna in North Carolina
- health Complaint #IC-MOCQK4GU-1450MX (2026-04-18) — Billing error
- health Complaint #IC-MNNOJECX-FPLYI9 (2026-03-10) — Billing error
- health Complaint #IC-MOCQK4GU-1ANXDP (2026-03-08) — Network dispute
- health Complaint #IC-MNSBQ112-GGMY08 (2026-03-07) — Network dispute
- health Complaint #IC-MNMYTHNH-PSW02E (2026-03-05) — Premium increase
- health Complaint #IC-MNJE7W9P-N4I4ZQ (2026-03-05) — Network dispute
- health Complaint #IC-MNKGSNSB-U0HNLJ (2026-02-05) — Prior authorization
- health Complaint #IC-MOCQK4GU-4PSCKT (2026-01-17) — Prior authorization
- health Complaint #IC-MOCQK4GS-FGPZPI (2025-12-20) — Claim denial
- health Complaint #IC-MOCQK4GP-VR1G8U (2025-12-15) — Coverage gap
Frequently Asked Questions
How many health complaints does Aetna have in North Carolina?
Aetna has 91 health insurance complaints on file from consumers in North Carolina, according to NAIC and state DOI data.
What are the most common health complaint issues with Aetna in North Carolina?
The most common issues are: Network dispute (19), Prior authorization (18), Billing error (16), Premium increase (15), Coverage gap (13).
How does Aetna's health record in North Carolina compare to other states?
Aetna has 91 health complaints in North Carolina out of 4381 total health complaints nationwide. That is 2.1% of their health volume.
Where can I file a health complaint against Aetna in North Carolina?
You can file a complaint with the North Carolina Department of Insurance. The NAIC Consumer Information Source at https://content.naic.org/cis_consumer.htm also accepts complaints.