Where can I find a list of doctors and hospitals in the network?
Do I have to pick a primary care provider (PCP)?
You don’t have to choose a PCP, but you may want to. That’s because PCPs do more than provide checkups. They know you, your medical history, and they can help guide you and direct your care.
Where can I find out how much I will pay for certain services?
Some of your copay information is printed on your Aetna member ID card. You can also find it in your member enrollment materials. If you can’t find the information you need, you can call Member Services at 1-800-949-3104, 8 a.m. - 6 p.m. EST, Monday through Friday. And to review our overview of benefits, click here.
What does Aetna consider an emergency?
An emergency medical condition means your symptoms are sudden and severe. If you don’t get help right away, an average person with average medical knowledge will expect that you could die or risk your health. For a pregnant woman, that includes her unborn child. You do not have to get approval for emergency services.
Am I covered when I am outside my “home” service area?
Can I see network doctors anywhere?
Plan members and covered dependents have nationwide coverage. You can get care from a doctor, a walk-in clinic, an urgent care center or an emergency facility.
In case of an accidental injury or a life-threatening medical emergency where you are admitted to an inpatient facility, you (or someone on your behalf) should notify your PCP (if you have one) as soon as possible.
If you have any questions about our worldwide, 24-hour emergency coverage, please contact Member Services at 1-800-949-3104, 8 a.m. - 6 p.m. EST, Monday through Friday.
(For a description of what Aetna considers an emergency, see previous question.)
What if I lose my Aetna member ID card and have an appointment the same day?
You can print your ID card from your secure member website.
• Log in or register with Aetna at www.aetna.com
• Look under “Request & Changes”
• Select “ID card”
• Print your ID card
You can also display a digital copy of your Aetna ID card through the Aetna Mobile app.
Find what you need — wherever, whenever — with Aetna Mobile. To download your free Aetna Mobile app:
• Visit us at www.aetna.com/mobile to learn more
How can I find out if my doctor submitted my claim?
Go to www.aetna.com and log in or register. The Claims tab shows a quick view of the most recent claims on file. Each claim line includes the date of service, and patient and provider name. Click on the “details” link to access the Claim Details screen and view more information about the selected claim. There is also a link to search for other claims on file. Or you can call Member Services at 1-800-949-3104, 8 a.m. - 6 p.m. EST, Monday through Friday.
Where can I find other plan specific documents?
Click below to find links to other important plan specific forms:
• Handicap Dependent: