Humana exchange rates here…..
BLUE CROSS BLUE SHIELD (BCBS) exchanges rates here…..
How long are these rates valid?
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Do the Aetna Advantage Plans offer dental coverage?
What health care services are covered under the Aetna Advantage Plans?
Are maternity benefits covered under the Aetna Advantage Plans?
What is a Non-Specialist (Primary Care Physician)?
A primary care physician (PCP) is trained to manage your health care. Your PCP plays many roles — primary caregiver, health care advisor and consultant, coordinator of specialty care and patient advocate. PCPs can be:
- Family/General Practitioners (doctors who treat patients of all ages)
- Internists (doctors who treat adults; the doctor may have a subspecialty)
- Pediatricians (doctors who treat children)
What is a Formulary?
What does “generic drugs” mean?
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Addresses / Phone Numbers
Where do I send my application form?
If I am currently covered under an Aetna Advantage plan, who do I contact for billing questions?
If I am currently covered under an Aetna Advantage Plan, who do I contact for benefits questions?
How can I get Aetna Advantage application materials?
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How will Aetna bill me?
It’s your choice:
- We can send a monthly paper bill
- Sign up for EasyPay (your monthly premium will be deducted from your checking account)
- Pay by credit card when you enroll online
For more information and the application form, call your broker or call us at 1-800-MY-Health.
When is my premium due?
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I am a current Aetna group member. Can I convert my coverage to an Aetna Advantage Plan?
Does Aetna request medical records?
If I want coverage to begin the first of the month, when do I need to submit my application form?
How long will it take to process the application form?
Do I need to send my premium payment with the application form?
What ages are eligible to apply?
How do I choose a primary care physician (PCP)?
How can I check on a claim or get information about my coverage?
Should I cancel my existing coverage?
I am applying for coverage with my spouse. Whose age should I use to check for our rate?
What would cause my application to be delayed?
A few things can cause a delay:
- The application form was not signed and dated
- Not all questions were answered
- Questions answered “yes” in the medical history section require details. This information may be incomplete or missing.
- We are waiting for the medical records we requested
- We are waiting for other information we requested
Aetna Advantage Plans for Individuals, Families and the Self-Employed are underwritten by Aetna Life Insurance Company (Aetna) through a blanket trust in Delaware. This means that the plan benefits are based on Delaware requirements, and benefits and rates are filed with the Delaware Insurance Department. In the following states, individuals may qualify as a business group of one and may be eligible for guaranteed issue, small group health plans: CT, DE, FL, HI, MA, MD, ME, MS, NC, NH, RI, VT and WA. To the extent permitted by law, these plans are medically underwritten, and you may be declined coverage in accordance with your health condition. IN CT, THIS PLAN IS ISSUED ON AN INDIVIDUAL BASIS AND IS REGULATED AS AN INDIVIDUAL HEALTH INSURANCE PLAN. This material is for information only and is not an offer or invitation to contract. Plans may be subject to medical underwriting or other restrictions. Rates and benefits vary by location. Health benefits and health insurance plans contain exclusions and limitations. Providers are independent contractors and are not agents of Aetna. Provider participation may change without notice. Aetna does not provide care or guarantee access to health services. Not all health services are covered. See plan documents for a complete description of benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by location and are subject to change. Information is believed to be accurate as of the production date; however, it is subject to change. Policy forms issued in OK include: Comprehensive PPO-GR-11741 (5/04); Limited-GR-11741-LME (5/04) and Dental-11826 Ed 9/04.