Aetna — health Complaints in Pennsylvania
Detailed analysis of 85 health insurance complaints filed against Aetna by consumers in Pennsylvania, based on public NAIC and state DOI data.
Key Statistics
- health Complaints in Pennsylvania: 85
- Total health Complaints (All States): 4,381
- Pennsylvania Share: 1.9%
- NAIC Complaint Ratio: 1.25
- AI Risk Score: 85/100
Analysis: Aetna health in Pennsylvania
Aetna has accumulated 85 health insurance complaints from consumers in Pennsylvania. Across all states, Aetna has 4,381 total health complaints, making Pennsylvania responsible for 1.9% of the volume.
The most frequent complaint sub-type is Coverage gap with 18 complaints. Other common issues include Billing error (18), Prior authorization (15), Claim denial (15).
The most active year was 2026 with 3 complaints filed.
Consumers in Pennsylvania who have health disputes with Aetna can file a complaint with the Pennsylvania Department of Insurance.
health Complaint Issues in Pennsylvania
| Issue Type | Complaints | % |
|---|---|---|
| Coverage gap | 18 | 21.2% |
| Billing error | 18 | 21.2% |
| Prior authorization | 15 | 17.6% |
| Claim denial | 15 | 17.6% |
| Network dispute | 11 | 12.9% |
| Premium increase | 8 | 9.4% |
Complaints by Year
- 2026: 3 complaints
- 2025: 28 complaints
- 2024: 27 complaints
- 2023: 9 complaints
- 2022: 10 complaints
- 2021: 8 complaints
Recent health Complaints Against Aetna in Pennsylvania
- health Complaint #IC-MOCQK4GP-GPI55R (2026-04-05) — Coverage gap
- health Complaint #IC-MOCQK4GU-BVFQJ9 (2026-03-30) — Prior authorization
- health Complaint #IC-MNF3WNBC-4LW8UH (2026-03-16) — Claim denial
- health Complaint #IC-MOCQK4GQ-CE5QHP (2025-12-25) — Claim denial
- health Complaint #IC-MNP3Z9Z6-XMDDGK (2025-12-23) — Billing error
- health Complaint #IC-MOCQK4GR-H7ZER1 (2025-11-29) — Premium increase
- health Complaint #IC-MOCQK4GT-LAFJSR (2025-11-14) — Network dispute
- health Complaint #IC-MNSBQ14G-K60NB9 (2025-11-03) — Network dispute
- health Complaint #IC-MNMYTHKU-ZJINQM (2025-10-17) — Prior authorization
- health Complaint #IC-MOCQK4GS-45FM0I (2025-10-07) — Billing error
Frequently Asked Questions
How many health complaints does Aetna have in Pennsylvania?
Aetna has 85 health insurance complaints on file from consumers in Pennsylvania, according to NAIC and state DOI data.
What are the most common health complaint issues with Aetna in Pennsylvania?
The most common issues are: Coverage gap (18), Billing error (18), Prior authorization (15), Claim denial (15), Network dispute (11).
How does Aetna's health record in Pennsylvania compare to other states?
Aetna has 85 health complaints in Pennsylvania out of 4381 total health complaints nationwide. That is 1.9% of their health volume.
Where can I file a health complaint against Aetna in Pennsylvania?
You can file a complaint with the Pennsylvania Department of Insurance. The NAIC Consumer Information Source at https://content.naic.org/cis_consumer.htm also accepts complaints.