Reputation grade
D
Peer-relative, A–F
Insurer profile · CVS Health · NAIC + CMS
Aetna Health Inc. (a PA corp.)
Aetna Health Inc. (a PA corp.)'s complaint record, claim-denial rate and reputation grade, drawn from published NAIC complaint data and CMS Transparency in Coverage.
- D
- Reputation grade
- 18.6%
- Claims denied
- 3
- States (CMS data)
The verdict
Aetna Health Inc. (a PA corp.) earns a D reputation grade — a worse-than-average record versus peers, CMS records show 18.6% of its marketplace claims denied across 3 states.
- D
- reputation grade
- 18.6%
- claims denied (CMS)
Grades are peer-relative within PlainInsurer's dataset. A high complaint ratio is not proof of wrongdoing — larger insurers draw more complaints by volume, which the index normalises.
NAIC complaint data Grade D CMS denial data · 3 states 0 states
NAIC complaint index
N/A
1.0 = market average; lower is better
Claim denial rate
18.6%
CMS, 3 states
Reputation grade D (composite score 32.2) — A=Excellent, F=Failing. Based on NAIC complaint ratios and CMS denial data.
Aetna Health Inc. (a PA corp.) — claim denial rate by state
Marketplace claims denied, by state (states with ≥100 claims on file)
- DE
DE: 31.3% denied (22,590 of 72,242 claims)
31.3 % of claims denied
- IL
IL: 24.4% denied (45,153 of 185,335 claims)
24.4 % of claims denied
- NC
NC: 18.3% denied (1,693,812 of 9,237,233 claims)
18.3 % of claims denied
What this shows Denial rates vary by state plan and network. Across 3 reporting states, Aetna Health Inc. (a PA corp.) denied 18.6% of marketplace claims on average.
What the data shows for Aetna Health Inc. (a PA corp.)
Aetna Health Inc. (a PA corp.), part of CVS Health, carries a D reputation grade in PlainInsurer's dataset, with a composite score of 32.2 (higher means more consumer friction relative to size). It does not yet carry enough NAIC complaint history for a normalized complaint index.
On the claims side, CMS Transparency-in-Coverage filings show Aetna Health Inc. (a PA corp.) denied 18.6% of marketplace claims across 3 reporting states — a moderate rate that still varies by plan design and network.
The practical implication: complaint and denial data give a comparative view of how Aetna Health Inc. (a PA corp.) treats policyholders relative to peers, but they cannot predict your individual claim experience. Compare the grade against named alternatives in your state, and weigh price, coverage terms and state licensing before any purchase. Source: NAIC Consumer Information Source complaint data (2024). Source: CMS Transparency in Coverage PUF (PY2025), cms.gov.
Use this data wisely. Complaint and denial figures reflect regulatory filings, not individual claim outcomes. A high complaint ratio is not proof of illegal behaviour. This page is informational and is not financial, legal, or insurance advice — verify coverage decisions with your insurer or a licensed agent.
Frequently asked questions
What does Aetna Health Inc. (a PA corp.)'s grade mean?
Aetna Health Inc. (a PA corp.) received a grade of D, indicating a worse-than-average record versus peers. PlainInsurer grades insurers on a curve relative to the ~200 carriers in our dataset, using the NAIC complaint index (normalized by premium volume), CMS claim denial rates, and Medicare Advantage prior-authorization data where available.
How many complaints does Aetna Health Inc. (a PA corp.) have?
Aetna Health Inc. (a PA corp.) has 0 confirmed complaints on record across 0 states, based on published NAIC complaint data. Raw counts favour smaller insurers — PlainInsurer uses the complaint index (complaints relative to premium volume, where 1.0 is the market average) to compare carriers fairly.
How do I file a complaint against Aetna Health Inc. (a PA corp.)?
Contact your state's Department of Insurance — every state has an insurance commissioner's office that accepts consumer complaints online, by phone, or by mail. The NAIC also runs a central complaint portal at naic.org. Document your policy number, claim number, dates, and the specific issue before filing.
Is Aetna Health Inc. (a PA corp.) a good insurance company?
It depends on your coverage needs, state, and budget. PlainInsurer's D grade reflects a worse-than-average record versus peers relative to peers. Always compare quotes from multiple carriers and check complaint data for your specific state and line of coverage.
What types of insurance does Aetna Health Inc. (a PA corp.) offer?
Detailed line-of-business data isn't currently available for Aetna Health Inc. (a PA corp.). The carrier is licensed in 0 states.
What to do with this
How to act on Aetna Health Inc. (a PA corp.)'s complaint and denial record.
- Compare this carrier side-by-side with another before you buy. Compare insurers
- See how every insurer in your state ranks on complaints and denials. Browse by state
- Denied a claim? Learn the internal and external appeal process. Appeal a denial
Complaint ratios normalise by premium volume so larger carriers are not penalised for writing more policies.
Source: NAIC published complaint index + CMS Transparency in Coverage PY2025 Complaint index, reputation grade and per-state claim denial rates for Aetna Health Inc. (a PA corp.) · 2024 NAIC complaint index aggregates state-DOI consumer complaints, normalized against premium volume (1.0 = market average). Denial rates from CMS Transparency in Coverage PY2025. Reputation grade is PlainInsurer's peer-relative methodology applied to this public data.
Data: NAIC published complaint index (2024) · CMS Transparency in Coverage PUF PY2025. Not affiliated with NAIC or CMS. Read our methodology.