AETNA

• Plan Administrator
  • Aetna website
  • BrainShark - an overview of Aetna’s services and programs
  • Locate Participating Providers - DocFind

Customer Service: 1-877-542-3862

• Reminder…
  • Lab Corp is a Non-Participating Provider
         - Lab Corp Notice
  • Quest Diagnostics is a Participating Provider

• Summary Plan Description
  • HMO Summary Plan Description (.pdf)
  • Letter accompanying Summary Plan Description (.pdf)

• Flu Shot Information for Fall 2009
  • Flyer
  • A referral from the Primary Care Physician (PCP) is not required to obtain the flu shot outside of the PCP’s office. However, members must use one of Aetna’s contracted providers. Providers are listed on the flyer or members may contact Aetna’s Customer Services at the telephone number listed above.

• Weight Watchers
  • Participants who signed up for Weight Watchers by December 31, 2008 due to DelaWell’s reimbursement program have until June 15, 2009 to submit a request for reimbursement.

• Urgent Care Facilities
  • Please note: Members must call their primary care physician before visiting an Urgent Care Facility.
  • List of Urgent Care Facilities (.pdf)

• Documentation
  • Aetna OE Guide
  • Aetna OE Brochure Cover Letter
  • Explanation of Benefits (.pdf)
  • Legend to Explanation of Benefits (.pdf)
  • Aetna PowerPoint Presentation (.ppt)
  • HMO Special Programs (.pdf)
  • Full Time Student Policy (.pdf)
  • Informed Health Line (.pdf)
  • Jenny Craig brochure (.pdf)
  • Smart Source Flyer (.pdf)

Forms and Special Applications

• Dependent Child Coordination of Benefits
  In accordance with the Group Health Eligibility and Enrollment Rules, a Dependent Coordination of Benefits form must be completed for each dependent child upon enrollment, any time coverage changes, or upon request by the Statewide Benefits Office. Please complete the applicable form below and return it to your health care carrier at the address provided on the bottom of the form.
   
• Dependent Child Coordination of Benefits Form
  Please print the form, complete, and send by U.S. Mail to:
  Aetna, Inc.
  655 South Bay Road, Suite 1-A
  Dover DE 19901-4601

• Claim Form
  Please print the Claim Form, complete, and fax to (859) 456-8650 or send by U.S. Mail to:
  Aetna, Inc.
  Attn: Claims
  P.O. Box 981107
  El Paso, TX 79998-1170
   
• Incapacitated Child - Member Form
• Incapacitated Child - Physician Form

• Appeal Process
  • Appeal Process (.pdf)
  • State of Delaware Authorization for Release Personal Health Information Form

Last Updated: Monday September 28 2009