Aetna Long-Term Insurance: Address Update And What It Means For Policyholders

If you are moving to a new address, it is important to let Aetna know as soon as possible. If you have an Aetna plan through your employer, you should inform your employer of your new address, and they will send the update to Aetna. If you have a plan that you purchased directly from Aetna, you can log in to send your updated address through the Contact Us feature, or call Member Services at the number on your ID card. If you have an exchange plan, you should contact the plan directly to update your address.

How to report a change of address to Aetna

To report a change of address to Aetna, you must first determine the type of plan you have.

If you have an Aetna plan through your employer, you must inform your employer of your change of address. Your employer will then send this update to Aetna.

If you have a plan that you purchased directly from Aetna (not through an employer), you can log in to your member website and send your updated address through the "Contact Us" feature. Alternatively, you can call Member Services at the number on your ID card.

If you have an exchange plan, you must contact the plan directly to update your address. This applies if you purchased your plan on the Health Insurance Marketplace.

It is important to keep your address up to date with your health plan. If you get Aetna Medicare coverage through an employer, union, or retiree plan, you may need to contact your benefits administrator to update your address.

How to change your primary care physician

To change your primary care physician (PCP) with Aetna, there are two steps:

Step 1: Search for a new PCP

You can search for a new PCP by logging into your member website and using the provider search tool. You can search by ZIP code, language spoken, and other preferences.

Step 2: Finalise the change

Call the toll-free Member Services number on your ID card. They can change your PCP for you or help you choose one that’s right for you.

You can also change your PCP by calling the number on your Aetna ID card or by logging into your secure member account.

Choosing a PCP

Before choosing a PCP, make sure they are on the provider list. You should also consider your personal needs, such as how friendly the office staff are, their opening hours, how easy it is to reach the PCP, and whether they have good reviews.

After choosing a PCP

Once you’ve chosen your PCP, make an appointment for a “new member checkup”. This should be done within the first 60 days of becoming a member. Your PCP will look at your medical history, give you a checkup, and talk to you about preventive care.

How to request a new ID card

To request a new ID card, you can either:

• Log in to your member website, where you can pull up your digital ID card, which is identical to your plastic ID card. You can print or email it.
• Request a new plastic ID card to be sent to your home by logging in to your member website or calling Member Services using the number on your ID card.

If you are a new member and have not received your ID card yet, you can register for Aetna Navigator, your personalized benefits website, and print a temporary ID card. You can also contact Aetna Member Services at 1-888-488-4488, and they can walk you through the registration process.

How to submit a claim for reimbursement

To submit a claim for reimbursement, you can submit your claim online or via mail.

Submitting a claim online:

Log in to your member website and submit your claim. You will be asked a few questions to confirm the claim details, and you can upload your bill online.

Submitting a claim via mail:

Download, complete, and submit the relevant form(s) by mail to the address on your ID card. You will find submission instructions and the expected reimbursement time within each form.

Forms:

• Prescription drug claim form
• Prescription drug claim form (Spanish)
• Fitness claim form (Spanish)
• Medical, dental, hearing, vision, and vaccine claim form
• Medical, dental, hearing, vision, and vaccine claim form (Spanish)

How to change your Aetna plan

If you have health benefits through your employer, you can change your Aetna plan during "open enrollment", which typically takes place in the fall. During this period, you can choose a new health plan, pick new benefits, or cancel your current plan.

Outside of the open enrollment period, you can change your plan if you meet one of the following requirements:

• You have been a member of your current plan for three months or less.
• You tried to get help from your MCP, but continue to have problems finding the care you need.
• You qualify for a Special Enrollment Period due to a life event, such as changing jobs, getting married, having a baby, or based on your estimated household income.

If you have an Aetna plan through your employer, you can let your employer know about any changes to your name or address, and they will send this update to Aetna. If you purchased your plan directly from Aetna, you can log in to send your updated name and address through the "Contact Us" feature or call Member Services using the number on your ID card.

Frequently asked questions